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Objective: To explore the prevalence and potential influencing factors of social frailty among community-dwelling older adults from a global perspective. Methods: Systematic searches were conducted on multiple databases including CNKI, VIP, Wanfang Data, CBM, Pubmed, Cochrane Library, Web of Science, and Embase from inception to January 9, 2024. Two researchers performed a thorough literature search, gathered data, and independently evaluated the quality of the articles. Results: 2,426 literatures were examined, 45 were found to meet the specified criteria for inclusion, encompassing 314,454 participants. The combined prevalence of social pre-frailty and social frailty among community-dwelling older adults were found to be 34.5% and 21.1%, respectively. Depression, activities of daily living (ADL), physical inactivity, motor deficits, cognitive impairment, and physical frailty are potential risk factors. Conclusions: Social pre-frailty and social frailty are frequent challenges faced by older adults living in the community. The prevalence of these conditions has been on the rise in recent years, underscoring the importance of implementing effective interventions. Early identification and intervention for individuals at risk of social frailty are essential for promoting healthy and active aging globally. [ABSTRACT FROM AUTHOR]

Study Objectives: Our study aimed to investigate the association between asthma and obstructive sleep apnea (OSA) in American Indian communities, a historically underrepresented population in clinical research with a high prevalence of asthma and OSA risk factors like smoking and obesity. Methods: This cross-sectional study used data retrieved from the Strong Heart Study cohort. Participants who attended both the Asthma Sub-study and the Sleep Heart Health Study around the same time were compared for active asthma diagnosis, OSA diagnosis, and potential risk factors for asthma and OSA. The association between asthma and OSA was then evaluated. Results: Among the 2480 participants who attended the Strong Heart Study Phase III exam, 123 participated in both the Asthma Sub-study and the Sleep Heart Health Study. Of these, 13 were diagnosed with OSA, with 4 having moderate to severe OSA. There was no statistically significant difference in OSA prevalence between the active asthma group and the non-active asthma group (former asthma or no asthma) (9.6% vs. 12.5%, p = 0.63). Additionally, body mass index did not differ significantly between participants with both active asthma and OSA and those without active asthma, OSA, or both. OSA diagnosis was significantly associated with male sex (Odds Ratio [OR] 9.2 [1.85–45.87], p = 0.007) and body mass index (OR 1.1 [1.02–1.26], p = 0.016) but not with age or a diagnosis of active asthma. Conclusions: In this American Indian cohort, no significant difference in OSA prevalence was observed between participants with and without active asthma, contradicting previous studies. Further research is needed to explore the underlying reasons for this discrepancy. [ABSTRACT FROM AUTHOR]

Significant efforts are currently being made to improve the quality of life of the older adult population. These efforts focus on aspects such as health, social interaction, and mental health. One of the approaches that has shown positive results in several studies is the application of game-based systems. These systems are not only used for entertainment, but also as tools for learning and promoting positive feelings. They are a means to overcome loneliness and isolation, as well as to improve health and provide support in daily life. However, it is important to note that, while these experiences are gradually being introduced to the older adult population, they are often designed with a younger audience in mind who are assumed to be more technologically proficient. This supposition can make older adults initially feel intimidated when interacting with this type of technology, which limits their ability to fully utilize and enjoy these technological solutions. Therefore, the purpose of this article is to apply a game experience and fun evaluation process oriented toward the older adult population based on the playability theory of human–computer interaction in virtual reality game experiences. This is expected to offer highly rewarding and pleasurable experiences, which will improve engagement with the older population and promote active and healthy aging. [ABSTRACT FROM AUTHOR]

Many Chinese migrant older adults are more prone to mental health problems due to their "migrant" status. During the COVID-19 pandemic, restrictions on their mobility exacerbated these conditions. Mental health is a crucial dimension of healthy aging. Network analysis offers a novel method for exploring interactions between mental health problems at the symptom level. This study employs network analysis to examine the interactions between comorbid depressive and anxiety symptoms across different stages of the COVID-19 pandemic. Surveys were conducted from September 2019 to January 2020 (T1), September 2020 to January 2021 (T2), and September 2021 onwards (T3). Depression and anxiety symptoms were measured by the Patient Health Questionnaire-9 (PHQ-9) and the Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Expected Influence (EI) and Bridge Expected Influence (Bridge EI) were used to identify central and bridge symptoms in the network. Network stability and accuracy tests were performed. Among the Chinese migrant older adults, the anxiety prevalence was 18.50% at T1, 21.11% at T2, and 9.38% at T3. The prevalence of depression was 26.95% at T1, 55.44% at T2, and 60.24% at T3. The primary central symptoms included 'Afraid something will happen' (A2), 'Irritability' (A6), 'Panic' (A7), 'Feeling of worthlessness' (D6), 'Anhedonia' (D1), and 'Feeling of fear' (A5). The major bridge symptoms included 'Feeling of fear' (A5), 'Panic' (A7), 'Irritability' (A6), 'Fatigue' (D4), 'Anhedonia' (D1), and 'Depressed or sad mood' (D2). Differences in network structure were observed across the periods. The network analysis further revealed the evolving relationships between central and bridge symptoms over time, highlighting the importance of targeted intervention strategies for central and bridge symptoms of comorbid depression and anxiety at different periods. [ABSTRACT FROM AUTHOR]

The health of older adults is crucial for the overall health of the entire life cycle. Based on population sampling survey data and census data from 131 prefecture level units in the Yangtze River Economic Belt (YREB) during 2010–2020, this study used exploratory spatial data analysis, geographical detector, stepwise regression analysis, and GTWR model to analyze the spatiotemporal pattern and influencing factors of the health level of older adults in the YREB. The results show that the health level of older adults in the YREB slightly increased from 2010 to 2020, with the most significant improvement in the upstream region and the most significant decline in the midstream region. The older adults' health level in the YREB displays a gradient decreasing pattern of the downstream, midstream, and upstream regions. The health level of older adults in the YREB is influenced by a combination of natural and social environment factors. Areas with lower altitude and moderate humidity climates are more conducive to the health of older adults. The increase in influencing factors such as population migration rate, per capita GDP, average years of education, per capita housing construction area, per capita park green area, and green coverage rate in built-up areas is conducive to improving the health level of older adults, while lower number of health institutions per 1,000 people and higher household support rate are not conducive to improving the health level of older adults. In addition, over time, the health-promoting effect of natural environmental factors is enhanced from 2010 to 2020, and the influence of annual precipitation on shaping the spatial pattern of older adults' health level became more obvious. Although the promoting effect of population migration on the health level of older adults tends to weaken, it remains the primary factor affecting the spatiotemporal differentiation of older adults' health level in the YREB. The impact of social development on the health level of older adults has changed from a positive health effect (improvement) to a negative health effect (loss). The health-promoting effect of living environment factors is enhanced. The health-inhibitory effect of household support rate increased, and showed a gradient decreasing pattern from downstream to midstream to upstream. The findings of this study can provide a more in-depth understanding of the spatiotemporal pattern of the health level of older adults in the YREB and the factors influencing it, improve the health level of older adults in the region, and promote the development of healthy and active aging in the YREB, and improve the human health. At the same time, this study also supplements the related research on aging and the health level of the elderly. Firstly, it can provide reference for the research on the health of old adults in other countries and regions around the world. Secondly, it can also provide a basis for research on aging and the health of old adults in cities and counties under YREB. [ABSTRACT FROM AUTHOR]

Background. Mobile health (mHealth) interventions hold promise in assisting older adults to meet physical activity (PA) guidelines. Yet, little is known about how older adults perceive using smartphones to enhance their PA. This study explored older adults' experiences with the "My Health Plan" mHealth intervention and examined which person‐level factors were associated with adherence. Methods. Forty older adults (52.5% female, mean age: 72.6 years) were instructed to use the My Health Plan application, which provided up to six stretch‐ and strengthening exercises per day and to wear a Fitbit Charge activity monitor for seven consecutive days. Person‐level factors (e.g., gender and age) and psychosocial factors (e.g., intention and motivation) were assessed using a questionnaire. Afterwards, semistructured interviews were conducted to gather participants' experiences with the application and Fitbit. Deductive thematic analysis (qualitative data) and regression analyses (quantitative data) were conducted. Results. Key themes emerging from the interviews were (1) smartphone notifications (including timing and number) and carrying the smartphone throughout the day, (2) suggested stretch‐ and strengthening exercises, (3) providing feedback, (4) experiences with Fitbit, and (5) overall suggestions for improving the application and mHealth interventions. Overall, participants reported positive experiences with the application and Fitbit. Being male, having higher baseline PA, lower anxiety, and greater ability to participate in social roles and activities were related to increased engagement with the proposed exercises. Conclusions. This study provides valuable insights to optimize future mHealth interventions tailored to older adults' specific needs, aligning with their perceptions of the digital transformation in health promotion. [ABSTRACT FROM AUTHOR]

Background: Multicomponent interventions based on a comprehensive geriatric assessment (CGA) could promote active aging and improve health status in older people with Noncommunicable Chronic Diseases (NCDs), but conflicting evidences are available. Aim: To evaluate the efficacy of a CGA-based multicomponent personalized preventive program (PPP) in reducing unplanned hospitalization rates during 12-month follow-up in community-dwelling older people with NCDs. Materials and methods: In this randomized clinical trial (RCT), 1216 older adults recruited by 33 general practitioners (GPs) will be randomly allocated to intervention group (IG) or usual care control group (CG). The IG will receive a multicomponent PPP developed on the findings of the CGA-based Multidimensional Prognostic Index short-form (Brief-MPI), including structured interventions to improve functional, physical, cognitive, and nutritional status, to monitor NCDs and vaccinations, and to prevent social isolation. Participants in the CG will receive usual care. Brief-MPI, resilience, and health-related quality of life will be assessed after 6 and 12 months. Moreover, saliva samples will be collected at baseline in IG to measure biomarkers of oxidative stress, inflammatory cytokines, and oral microbiome. Expected results: The CGA-based PPP might reduce unplanned hospitalization rates and potentially institutionalization rates, emergency department (ED) and unplanned GP visits, and mortality. Further outcomes explored in the IG will be the adherence to PPP, resilience, health-related quality of life, and multidimensional frailty as assessed by the Brief-MPI. Conclusions: Results will suggest whether the CGA-based multicomponent PPP is able to improve specific outcomes in a primary care setting. Trial registration: ClinicalTrials.gov; identifier: NCT06224556; Registered January 25, 2024. [ABSTRACT FROM AUTHOR]

AbstractObjectivesMethodResultsConclusionThis study investigated the longitudinal association between coping ability and depressive symptoms from before to during and after the COVID-19 pandemic and whether engagement in meaningful activities plays a mediating role in this association.Individuals aged 75, 80, and 85 years (n = 1021) were interviewed in 2017–2018 (T1, pre-pandemic). Of these persons, 608 were interviewed in 2020 (T2, first wave) and 2021–2022 (T3, partly post-pandemic). Coping ability, depressive symptoms, and engagement in meaningful activities were assessed using the 10-item Connor-Davidson Resilience Scale, 10-item Center for Epidemiologic Studies Depression Scale, and 17-item activity subscore of the University of Jyväskylä Active Aging Scale, respectively. Structural equation modeling was used for the mediation analyses.Higher coping ability was associated with decreased depressive symptoms, partly mediated by higher activity scores between T1 and T2. From T2 to T3, higher coping ability reduced the depressive symptoms, but the activity scores did not mediate the changes during this period.Good coping ability may help older people sustain good mental well-being. With good coping ability, active engagement in meaningful activities contributed to the low level of depressiveness during the early phases of the pandemic, when many social activities were restricted. [ABSTRACT FROM AUTHOR]

The prevalence of frailty is increasing, and it is associated with increased risk of diseases and adverse outcomes. Although substantial research has focused on post-stroke frailty, understanding of pre-stroke frailty remains limited. Our aim was to synthesize literature on pre-stroke frailty and stroke risk to explore their relationship and impact on prognosis. A systematic search of multiple databases was conducted to identify cohort studies published until October 28, 2023. Meta-analysis was conducted using a random effects model. Heterogeneity was assessed with the I² statistic, and publication bias was evaluated using Begg's test. Finally, we included 11 studies (n = 1,660,328 participants). The pooled hazard ratios (HRs) for stroke risk associated with pre-stroke frailty compared to non-frail individuals was 1.72 (95% confidence interval, CI: 1.46–2.02, p = 0.002, I2 = 69.2%, Begg's test: p = 0.536). The pooled HRs for mortality and the pooled relative risk (RRs) modified Rankin Scale (mRs) associated with pre-stroke frailty were 1.68 (95% CI: 1.10–2.56, p = 0.136, I2 = 49.9%, Begg's test: p = 0.296) and 3.11 (95% CI: 1.77–5.46, p = 0.192, I2 = 39.4%, Begg's test: p = 1.000), respectively. In conclusion, pre-stroke frailty is strongly associated with stroke risk and impacts its prognosis, irrespective of the measurement method. Future research should focus on prospective studies to assess the effects of early intervention for frailty. This has significant implications for primary healthcare services and frailty management. [ABSTRACT FROM AUTHOR]

Background: The aging population in Poland poses significant challenges to social and health systems. By 2050, the percentage of people over 65 in Poland is projected to reach 32.7%. Promoting physical activity among seniors is crucial for preventing chronic diseases, improving quality of life, and reducing healthcare burdens. Local governments play a pivotal role in implementing healthpromoting measures. Objective: The study aims to analyze seniors’ satisfaction with local government activities in promoting physical activity and to identify the best activities and future needs of seniors in the Silesia, Mazovia, and Pomerania regions of Poland. Material and Methods: The survey, conducted between May 2023 and May 2024, utilized the Computer Assisted Web Interviewing (CAWI) method to gather data from 1,500 seniors aged 65 and above across the Silesia, Mazovia, and Pomerania regions. The study population was carefully selected to ensure representativeness in terms of gender, age, education, and place of residence. Data analysis included chi-square tests and logistic regression to assess satisfaction levels and identify influencing factors. Results: The survey revealed regional differences in satisfaction levels. Seniors in the Mazovia region exhibited the highest satisfaction (74% positive ratings), followed by the Silesian (64%) and Pomeranian (56%) regions. Factors influencing satisfaction included gender, age, education, and place of residence. Women, older seniors, those with higher education, and urban residents reported higher satisfaction levels. The most appreciated local government activities were related to sports infrastructure and sports programs. Future needs emphasized the demand for more sports programs and better infrastructure, with regional variations in preferences. Conclusion: Seniors’ satisfaction with local government activities in promoting physical activity varies significantly across regions. Tailoring activities to regional preferences and continuous evaluation of programs are essential for enhancing effectiveness and satisfaction. Increased funding and support for physical activity programs are necessary, especially in less developed regions. [ABSTRACT FROM AUTHOR]

Soft skills are key factors for success in multiple contexts of daily life, as well as for life satisfaction, but little is known about their role in late adulthood and older age. In this study, we aimed to investigate the relationships of soft skills, as defined by the World Economic Forum, with two indicators of successful/healthy aging: life satisfaction and cognitive reserve. A sample of 435 adults aged 50 and over completed self-reported measures of soft skills, life satisfaction, and cognitive reserve. As control, fluid (reasoning) and crystalized (vocabulary) intelligence were assessed too, along with socio-demographic characteristics. A series of regression analyses showed that soft skills were positively related to both life satisfaction and, to a lower extent, cognitive reserve, above and beyond gender, age, and both fluid and crystallized intelligence. Interestingly, these associations were independent from participants' age. Overall, these results highlight the importance of considering soft skills also over the middle-late adult life course, due to the potential role of these individual qualities in supporting an individual's well-being and an active and engaged lifestyle, with implications for the promotion of a healthy aging. [ABSTRACT FROM AUTHOR]

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Background: This study aimed to survey knowledge and perceptions of social prescribing (SP) amongst health and community care workers, and is a cross-sectional online survey conducted in November 2023. Methods: The survey on basic demographics, awareness, knowledge, and practices of SP was completed by 123 health and community care workers. Results: The mean age of respondents was 39.0 years. Nearly two-thirds had heard of SP. A lower proportion of acute hospital doctors (55.6%) and nurses (56.8%) had heard of SP compared with primary and subacute care doctors (75.0%). The majority agreed that SP benefits patients' mental health and reduces healthcare utilization. Primary care physicians, community nurses, and active ageing centres were the top three professionals selected as most responsible for SP by survey respondents. The most commonly cited barriers to SP were seniors' reluctance (63.4%), lacking knowledge on how to refer (59.3%), lack of time (44.7%), and cost to seniors (44.7%). Conclusion: Overall, health and community care workers demonstrated positive attitudes toward SP and were keen to refer patients for SP. However, additional efforts are needed to improve knowledge about how to refer to and provide training on SP. [ABSTRACT FROM AUTHOR]

Elder abuse, a pervasive and distressing phenomenon, continues to pose a significant challenge globally, affecting older adults across diverse socioeconomic backgrounds. This article provides an overview of the prevalence of elder abuse, highlighting its multifaceted nature, risk factors and the imperative need for intervention and prevention strategies. A synthesis of empirical studies, meta-analyses and reputable sources is used to delineate the prevalence rates and patterns of elder abuse across various geographical regions. [ABSTRACT FROM AUTHOR]

Background: The Decade of Healthy Aging (2021–2030) emerges as a 10 years strategy to improve the lives of older adults, their families, and the communities in which they live. One of the actions defined in this framework is related to improving the measurement, monitoring, and understanding of characteristics, factors, and needs related to aging and health. The aim was to analyze and assess the process of construction and development of the Strategic Information System on Health, Funcional Dependence and Aging (SIESDE, for its acronym in Spanish). SIESDE will provide strategic information in Mexico at the municipal, state, and national levels that support the public policies on healthy aging. Methods: The system processes and analyzes the data sources of the Health Information Systems and the National System of Statistical and Geographical Information. SIESDE comprises three components: (1) Design, construction, and evaluation of the indicators; (2) storage, management, and visualization, and (3) diffusion and translation of information. Results: A total of 135 indicators were built on seven themes: (1) demographic, socioeconomic, and aging conditions, (2) health, (3) functional dependence, (4) healthy aging, (5) health services, (6) social and physical environments, and (7) complex indicators. Conclusions: SIESDE is an effective system for providing an overall view of health, aging, and functional dependence. [ABSTRACT FROM AUTHOR]

The rapid pace of ageing raises concerns regarding financial security, health and long-term care and place for older people to live as they age. This paper examined the factors associated with preference to age in place (AIP) among 2231 respondents aged 60 and older from the Malaysia Ageing and Retirement Survey (MARS). The Categorical Principal Component Analysis (CATPCA) was utilized to identify variables that represent family supports, social connectedness and social participation. 75% of the respondents indicated that they would like to age in place with the binary logistic regression showing a greater likelihood among respondents with strong family and social connectedness, having a spouse, being non-Chinese and being in a good health condition. Urban respondents, with a high individual capacity and social participation, are less likely to age in place. There is a need to strengthen the family institutions and communities, providing incentives and support to promote ageing in place and empower them to remain sustainable for future generations. [ABSTRACT FROM AUTHOR]

Two-thirds of people living with Alzheimer's disease and related dementias (ADRD) live in low- and middle-income countries, and this figure is expected to rise as these populations are rapidly aging. Since evidence demonstrates links between socioeconomic status and slower rates of cognitive decline, protecting older adults' cognitive function in resource-limited countries that lack the infrastructure to cope with ADRD is crucial to reduce the burden it places on these populations and their health systems. While cash transfers are a promising intervention to promote healthy cognitive aging, factors such as household wealth and level of education often confound the ability to make causal inferences on the impact of cash transfers and cognitive function. This study uses a quasi-experimental design, leveraging an exogenous expansion to the Old Age Pension for men in South Africa, to approximate causal associations with cognitive function. We found evidence that there is a potential benefit of cash transfers at an earlier age for older individuals. As such, transfers such as pensions or other forms of direct basic income transfers may hold promise as potential interventions to promote healthy cognitive aging. [ABSTRACT FROM AUTHOR]

Purpose: The primary objective of this study was to assess how age influences masseter vestibular evoked myogenic potential (mVEMP) parameters by utilizing 500-Hz tone burst stimuli delivered through air conduction. Method: The study involved 110 participants ranging from 15 to 60 years of age, grouped into five categories, all of whom had no previous issues related to their vestibular system. The participants were exposed to 500-Hz tone burst stimuli at 125 dB SPL through ER-3A inserts. These stimuli were presented to one ear at a time, with alternating polarity. A Tukey's honestly significant difference test was conducted to compare rectified and unrectified amplitude, along with latencies (P11 and N21) and the asymmetric ratio across all age groups. Additionally, a multivariate analysis of variance was performed to assess the impact of sex on the study variables. Results: All 110 participants (220 ears) in the study provided mVEMP responses, encompassing 100% of the subjects. The results revealed a significant reduction in both amplitude and latency extension for the P11 and N21 peaks. Interestingly, P11 latency was also prolonged in the youngest participants (Group 1), suggesting ongoing maturation of the system even beyond the age of 16 years. Moreover, a significant sex difference was observed in the P11 latencies. However, there were no substantial sex differences (p >.05)inN1peaklatency,peak-to- peak amplitude, rectified amplitude, and asymmetric ratio. Conclusions: Changes in structure occur due to degeneration, and the quantity of vestibular sensory hair cells gradually diminishes with age. The rate of decline is faster in semicircular canals compared to end organs, as observed by Merchant et al. (2000). Following a linear degeneration starting at the age of 40 years, a continuous reduction in sensory cells and primary neurons takes place until approximately 40% of vestibular sensory cells are lost by the age of 75 years and insufficient maturation can lead to prolonged peaks and reduced amplitudes compared with those that are considered normal. Therefore, it is crucial to consider the age of the participants when making diagnoses and incorporate relevant correction factors based on age-related reference data. [ABSTRACT FROM AUTHOR]

Objective: To investigate the impact of yoga on successful aging based on the selection, optimization, and compensation model in elderly women. Design: Quasi‐experimental study. Sample: Seniors' meeting points and parks and clubs for the old age pensioners of the ministry of education, ministry of healthcare, and the oil corporation in Shiraz, Iran. 68 elderly women within the age range of 60–86 years were divided into a yoga and a control group. Measurements: The subjects in both groups were asked to complete the selection, optimization, and compensation model questionnaire before and after the intervention. Successful aging was measured using the selection, optimization, and compensation questionnaire. Intervention: The yoga training program was implemented in 1‐h sessions twice a week for eight weeks. Results: After eight weeks of yoga training, the results showed a significant difference between the pretest and posttest successful aging total scores of the yoga group (P =.005). However, the difference between the yoga and control groups' posttest mean total scores was not significant (P =.601). Conclusion: Based on the results, it seems that yoga training can improve successful aging. Thus, yoga is recommended as an inexpensive and entertaining method. [ABSTRACT FROM AUTHOR]

A dearth of research has focused on the diverse experiences of aging sexual minority populations and, in particular, older sexual minority women. Studies that have disaggregated the population of lesbian, gay, bisexual, transgender, questioning, queer, intersex and two-spirit (LGBTQIS+) older adults reveal that due to minority stress and a lifetime of disadvantage. Lesbians experience higher rates of chronic health conditions and mental health problems (including loneliness) than heterosexual women and greater financial inequalities compared to gay men or heterosexual women. Despite this, limited inquiry has explored the everyday lives of older queer women and fewer still draws upon women's commentary on their own lived experiences or centers older women as authoritative agents and experts on their own lives. In response to this knowledge deficit, this research traverses the aging experiences of female-identified members of a gay square dance (GSD) club in Toronto, Canada. We apply queer theory to explicate the unique ways in which a GSD club queers the aging process for 14 older women dancers. Findings of the inquiry highlight the ways in which these dancers confront and reject heteronormativity, while illuminating pathways to successful aging for older sexual diverse women. The older women dancers in this study perform gender in ways that challenged heteronormativity and gender binaries, enhanced belongingness and acceptance, embodied joy, and fostered wellness. These concepts have been identified as critical factors in successful aging and highlight what queering aging might look like for this resilient population who have overcome a lifetime of disadvantage. [ABSTRACT FROM AUTHOR]

As increasing proportions of our global population age, transgender people are experiencing higher rates of dementia, and many are afraid to enter long-term care. Structural interventions such as advance directives may help mitigate fears around entering long-term care by managing specific anxieties that transgender people may have about dementia, loss of decision-making capacity, and discrimination in long-term care settings. [ABSTRACT FROM AUTHOR]

Notwithstanding the oldest-old cohort being the fastest-growing population in most ageing societies, characterizing successful ageing in adults of advanced age, such as nonagenarians and centenarians, remains challenging. This study investigated the successful ageing subphenotypes using the data from Hong Kong Centenarian Study 2. Between April 2021 and September 2022, 146 family caregivers of community-dwelling older adults aged 95 or above were interviewed by phone. Latent class analysis identified three classes— Overall Frail (46.6%) with poor mobility, cognitive and functional health, Nonambulant (37.0%) but good functional health, and Robust (16.4%) with overall good health—from 11 indicators based on caregivers' reports. Although we found a low prevalence of fulfillment of all indicators of successful ageing, our findings will help care professionals appreciate the heterogeneity underlying partial successful ageing in this vulnerable cohort for segmented and targeted healthy longevity interventions. [ABSTRACT FROM AUTHOR]

Osteoporosis is a chronic, progressive metabolic disease associated with a decrease in bone density. With the onset of menopause, women experience serious bone loss and the development of osteoporosis. The purpose of the study is to identify risk factors for the development of osteoporosis among women of active age of Bulgarian and Roma origin. Results: A total of 417 women of working age participated in the study, divided into two groups: Bulgarian and Roma. The results show statistical differences between the two groups for the risk factor - early menopause occurring before the age of 45 and having a first child before the age of 18. About other non-modifiable risk factors: data on previous fractures and close relatives with fractures, height reduction, diseases or taking medications that increase the risk of developing osteoporosis, no differences were found. Conclusion: Knowing the risk factors characteristic of women of different ethnic origins, with differences in culture, education, socio-economic status and health behaviour is important for the creation of adequate preventive activities for individual risk groups. [ABSTRACT FROM AUTHOR]

Osteoporosis is a chronic, progressive metabolic disease that leads to a decrease in bone density. It affects the population of all countries of the world and can lead to disability and significantly worsen the quality of life of patients. The condition in which bone density is below normal reference values, but not low enough to be diagnosed with osteoporosis, is called osteopenia. Change in bone health can begin at a young age, so early prevention should be a public health challenge. Decreased bone density in young women can be caused by a variety of factors, such as genetics, lifestyle, dietary habits, physical activity, and socioeconomic conditions. This study aims to identify risk factors related to lifestyle, adversely affecting bone health among able-bodied women of two different ethnicities - Bulgarian and Roma. A total of 417 women of active age participated in the study, divided into two groups according to their ethnicity. The results show statistical differences between the two groups in lifestyle and harmful habits affecting bone health. Regarding the other modifiable risk factors: smoking, excessive alcohol use and caffeinated beverages, we found a statistically significant difference, only for alcohol consumption. Adherence to a diet for weight loss, as a risk factor for unbalanced nutrition and lack of vitamins and minerals necessary for bones, shows a statistically significant difference, Bulgarian women gave a higher relative share for this risk factor. Conclusion: Knowledge of the condition "osteopenia" as well as lifestyle risk factors among women of active age will improve bone health and bone mineral density and prevent the development of osteoporosis. [ABSTRACT FROM AUTHOR]

Background: This study explores the perceptions of supported accommodation staff and their managers of the support needs of residents ageing with intellectual disabilities, and their experiences of adjusting services for this group in the context of individualised funding. Method: Qualitative interviews were conducted with 21 staff working in Australian supported accommodation services. Findings: Four themes emerged. The first captured the staff's limited understanding of ageing and the medicalisation of support needs. The second identified staff practices and adjustments to service provision to facilitate residents' healthy ageing. The third described staff commitment to facilitating ageing residents to age in place, and the fourth identified staff challenges and opportunities in supporting ageing residents in the context of the National Disability Insurance Scheme (NDIS). Conclusions: Findings may inform the development of practice guidelines and training for supported accommodation staff, protocols for intersections between disability, aged care and health sectors, and adequate policy responses to support older residents' healthy ageing. [ABSTRACT FROM AUTHOR]

The gut microbiome is a contributory factor in ageing-related health loss and in several non-communicable diseases in all age groups. Some age-linked and disease-linked compositional and functional changes overlap, while others are distinct. In this Review, we explore targeted studies of the gut microbiome of older individuals and general cohort studies across geographically distinct populations. We also address the promise of the targeted restoration of microorganisms associated with healthier ageing. [ABSTRACT FROM AUTHOR]

Calorie restriction (CR) is a robust intervention that can slow biological aging and extend lifespan. In the brain, terminally differentiated neurons and glia accumulate oxidative damage with age, reducing their optimal function. We investigated if CR could reduce oxidative DNA damage to white matter oligodendrocytes and microglia. This study utilized post-mortem brain tissue from rhesus monkeys that died after decades on a 30 % reduced calorie diet. We found that CR subjects had significantly fewer cells with oxidative damage within the corpus callosum and the cingulum bundle. Oligodendrocytes specifically showed the greatest response to CR with a robust reduction in DNA damage. Additionally, we observed alterations in microglia morphology with CR subjects having a higher proportion of ramified, homeostatic microglia and fewer pro-inflammatory, hypertrophic microglia relative to controls. Furthermore, we determined that the observed attenuation in damaged DNA occurs primarily within mitochondria. Overall, these data suggest that long-term CR can reduce oxidative DNA damage and offer a neuroprotective effect in a cell-type-specific manner in the aging monkey brain. • Long-term CR in aging monkeys reduces oxidative DNA damage in oligodendrocytes. • DNA damage in oligodendrocytes of aging monkeys is primarily within mitochondria. • Long-term CR does not alter baseline DNA damage in microglia. • Long-term CR promotes ramified microglia and reduces hypertrophic / ameboid phenotypes. [ABSTRACT FROM AUTHOR]

For centuries, aging was considered inevitable and immutable. Geroscience provides the conceptual framework to shift this focus toward a new view that regards aging as an active biological process, and the biological age of an individual as a modifiable entity. Significant steps forward have been made toward the identification of biomarkers for and measures of biological age, yet knowledge gaps in geroscience are still numerous. Animal models of aging are the focus of this perspective, which discusses how experimental design can be optimized to inform and refine the development of translationally relevant measures and biomarkers of biological age. We provide recommendations to the field, including: the design of longitudinal studies in which subjects are deeply phenotyped via repeated multilevel behavioral/social/molecular assays; the need to consider sociobehavioral variables relevant for the species studied; and finally, the importance of assessing age of onset, severity of pathologies, and age-at-death. We highlight approaches to integrate biomarkers and measures of functional impairment using machine learning approaches designed to estimate biological age as well as to predict future health declines and mortality. We expect that advances in animal models of aging will be crucial for the future of translational geroscience but also for the next chapter of medicine. [ABSTRACT FROM AUTHOR]

Motivating older employees both to prolong their working lives and to stay active even after retirement has become increasingly important due to rising old-age dependency ratios. Later life work—including both paid work and volunteering—has thus become an important topic for scholars and practitioners. We aim to extend research on later life work by hypothesizing that psychological empowerment at work increases not only desired and actual retirement ages but also levels of later life work. Second, we test differential effects of psychological empowerment on later life work, expecting it to be more strongly related to paid work after retirement (i.e., bridge employment) than to volunteering. Third, we suggest that the relationship between psychological empowerment and bridge employment depends on the employees' level of physical limitations. We used data from a longitudinal panel study in Germany in which structured telephone interviews were conducted. A sample of older individuals who had retired between two waves of measurement was drawn (time lag: three years; n = 210). The results of a path analysis support the postulated mediation. Furthermore, as expected, psychological empowerment more accurately predicted bridge employment than volunteering, and physical limitations moderated the relationship between psychological empowerment and bridge employment. Lastly, additional analyses on the individual empowerment facets revealed that only the competence facet played a significant role in the proposed hypotheses. Overall, our findings suggest that psychological empowerment may help to increase older employees' motivation to delay retirement and to stay active even after retirement. [ABSTRACT FROM AUTHOR]

Purpose: Cardiorespiratory fitness (CRF) measured by peak oxygen consumption (...) declines with aging and correlates with mortality and morbidity. Cardiopulmonary exercise testing (CPET) is the criterion method to assess CRF, but its feasibility, validity, and reliability in older adults are unclear. Our objective was to design and implement a dependable, safe, and reliable CPET protocol in older adults. Methods: ... was measured by CPET, performed using treadmill exercise in 875 adults ≥70 yr in the Study of Muscle, Mobility and Aging (SOMMA). The protocol included a symptom-limited peak (maximal) exercise and two submaximal walking speeds. An adjudication process was in place to review tests for validity if they met any prespecified criteria (... <12.0 mL⋅kg-1⋅min-1; maximum heart rate <100 bpm; respiratory exchange ratio <1.05 and a rating of perceived exertion <15). A subset (N = 30) performed a repeat test to assess reproducibility. Results: CPET was safe and well tolerated, with 95.8% of participants able to complete the // phase of the protocol. Only 56 (6.4%) participants had a risk alert and only two adverse events occurred: a fall and atrial fibrillation. Mean ± SD ... was 20.2 ± 4.8 mL⋅kg-1⋅min-1, peak heart rate 142 ± 18 bpm, and peak respiratory exchange ratio 1.14 ± 0.09. Adjudication was indicated in 47 tests; 20 were evaluated as valid and 27 as invalid (18 data collection errors, 9 did not reach ...). Reproducibility of ... was high (intraclass correlation coefficient = 0.97). Conclusions: CPET was feasible, effective, and safe for older adults, including many with multimorbidity or frailty. These data support a broader implementation of CPET to provide insight into the role of CRF and its underlying determinants of aging and age-related conditions. [ABSTRACT FROM AUTHOR]

The article discusses the National Institute of Aging's (NIA) push for inclusion of diverse older adults in clinical studies as of September 2024. Topics covered include the barriers of comorbidities' exclusion, age limits, concerns on vulnerable persons, and distrust of the healthcare system, and the needs to ensure representation and for appropriate analysis and research expertise in designing trials. Also noted is the NIA's support of initiatives to diversify the research workforce.

Objectives Mild cognitive impairment (MCI) is a unique indicator of underlying distress that may be strongly associated with suicide risk. Despite this, to date, no study has examined the association between MCI and suicidal ideation. Therefore, the present study aimed to examine the association between MCI and suicidal ideation among adults aged ≥65 years from 6 low- and middle-income countries (LMICs; China, Ghana, India, Mexico, Russia, and South Africa). Methods Cross-sectional, nationally representative data from the World Health Organization's Study on Global Ageing and Adult Health were analyzed. MCI was defined using the National Institute on Aging-Alzheimer's Association criteria. Self-reported information on past 12-month suicidal ideation was collected. Multivariable logistic regression and meta-analysis were conducted to assess associations. Results Data on 13,623 individuals aged ≥65 years were analyzed. The prevalence of suicidal ideation ranged from 0.5% in China to 6.0% in India, whereas the range of the prevalence of MCI was 9.7% (Ghana) to 26.4% (China). After adjustment for potential confounders, MCI was significantly associated with 1.66 (95% confidence interval [95% CI] = 1.12–2.46) times higher odds for suicidal ideation. Discussion Mild cognitive impairment was significantly associated with higher odds for suicidal ideation among older adults in LMICs. Future longitudinal studies from LMICs are necessary to assess whether MCI is a risk factor for suicidal ideation. [ABSTRACT FROM AUTHOR]

In celebration of the National Institute on Aging's (NIA) 50th anniversary, this paper highlights the significant advances in cognitive aging research and the promotion of cognitive health among older adults. Since its inception in 1974, the NIA has played a pivotal role in understanding cognitive aging, including cognitive epidemiology, interventions, and methods, for measuring cognitive change. Key milestones include the shift toward understanding cognitive impairment and Alzheimer's disease and Alzheimer's disease-related dementias (AD/ADRD), the development of large-scale longitudinal studies, and the incorporation of AD/ADRD-related biomarkers in cognitive aging cohorts. Additionally, NIA has championed diversifying the scientific workforce through initiatives, such as the Resource Centers for Minority Aging Research and the Butler-Williams Scholars Program. The next 50 years will continue to emphasize the importance of inclusion, innovation, and impactful research to enhance the cognitive health and well-being of older adults. [ABSTRACT FROM AUTHOR]

This paper explores how some older residents in B Town, a residential estate in northern Singapore, engage in community building through their 'serious leisure' and 'devotee work' participation in a resident landscaper program. Using data from ethnographic fieldwork conducted from February to November 2020 with participants aged from 60 to 81, I analyze how they built connections with each other, and the wider B Town community, through their participation. Particularly, I examine how the shared identity marker of being former farmers in now-evicted kampungs (villages) before the 1980s drew them together, and informed their continued involvement as resident landscapers. The 'kampung spirit' that they built up through the program enabled the construction of not only social connections, but also exclusionary mechanisms that prevented more older adults from engaging in the activities. These findings highlight participants' agency, and complicate static and/or monolithic conceptualizations of 'aging in place/the community' and 'active aging'. [ABSTRACT FROM AUTHOR]

Background and Objectives Existing literature highlights notable health and social inequalities for people aging with a lifelong disability and the need for research to better understand how we can support this group to age well. This scoping review mapped existing literature related to "aging well" in people with lifelong disabilities. Research Design and Methods Five scientific databases and gray literature sources were searched for studies related to "aging well" and "lifelong disability" (defined as a disability that a person had lived with since birth or early childhood). Results We identified 81 studies that discussed aging well with a lifelong disability, with most (70%) focusing on intellectual disabilities. Two themes captured existing research on aging well with a lifelong disability: (1) framing aging well with a lifelong disability, which included the ways that people with lifelong disability, their supporters, and existing research frame aging well for this group and (2) supporting people to age well with a lifelong disability, which involves the micro-, meso-, and macro-level factors where research suggests interventions to facilitate aging well could be situated. Discussion and Implications This synthesis highlights how aging well is currently framed in the literature and where interventions to improve aging well in this group could be situated. Literature highlights the importance of considering multilevel interventions to improve aging well. Evidence gaps include the lack of research conducted with groups other than those with intellectual disabilities and the need for more research examining aging well interventions. [ABSTRACT FROM AUTHOR]

Background and Objectives This study examined the psychometric properties and measurement invariance of the 10-item Awareness of Age-Related Change Short Form (AARC-SF) questionnaire in a Chinese-speaking sample of older adults in Taiwan. Research Design and Methods Data from 292 participants (M age = 77.64 years) in the Healthy Aging Longitudinal Study in Taiwan cohort were used for Study 1, whereas data from young-old adult samples in Germany were used for Study 2. Results Study 1 showed that the AARC-SF had satisfactory reliability and validity for assessing adults' AARC in Taiwan. Analyses confirmed the 2-factor structure of AARC-gains and AARC-losses. Study 2 demonstrated strong measurement invariance across men and women, whereas direct comparisons of the item scores between young-old adults and old-old adults need to be made with caution. Noninvariance of loadings indicated that certain items were more closely linked to AARC-gains and AARC-losses in Taiwan than in Germany. Noninvariance of intercepts suggested potential biases in comparing item scores between Taiwanese and German older adults. Discussion and Implications The AARC-SF emerged as a reliable and valid instrument for capturing positive and negative subjective aging experiences among Taiwanese older adults. However, it is noteworthy that some items on the AARC-SF may solicit different responses from individuals of different ages and different countries of origin, requiring caution with age group and cross-cultural comparisons. [ABSTRACT FROM AUTHOR]

Background and Objectives Significant societal and technological changes in the 2010s called for an up-to-date understanding of the digital divide among older adults in the United States. This trend study aimed to examine the effects of race/ethnicity and the intersecting effects of race/ethnicity with other marginalized identities related to gender, income, education, and occupation on the first- and second-level digital divide. Research Design and Methods Utilizing a nationally representative sample of older community dwellers from the National Health and Aging Trends Study, we conducted weighted logistic regressions at 3 time points (2011/2013, 2015, and 2019). The first-level digital divide was measured by access to working phones or computers/laptops; the second-level divide was measured by 7 activities in personal task, social, and health-related Internet use. Results The first-level racial/ethnic digital divide became nonsignificant in 2019, whereas the disparities in all second-level measures persisted. The intersecting effects of race/ethnicity with low education and/or low income became nonsignificant in 2019 for personal-task use. However, the interactions with low education and/or low income became significant for social and health-related use in 2015 and/or 2019. Discussion and Implications This study highlights the persistence of the second-level racial/ethnic digital divide among older community dwellers in the United States, especially the exacerbated social and health-related digital divide for people of color with low socioeconomic status. By considering intersections of marginalized social identities, policymakers and stakeholders should develop targeted strategies to bridge the digital divide, promote health outcomes, and reduce health disparities. [ABSTRACT FROM AUTHOR]

Recently, scholars have highlighted the detrimental consequences of technology-based ageism. Digital technology (DT) is commonly discoursed as an opportunity to promote Successful Aging. Nevertheless, the theoretical implications of ageism, DT, and Successful Aging are underexplored. This paper presents a new theoretical model of Digital Engagement and Ageism (D-EngAge), which elaborates on the potential impacts of ageism on digital engagement and participation in later life and explains how ageism may pose a threat to realizing the potential of DT to promote Successful Aging. The D-EngAge model was developed based on a synthesis of findings from 12 recent studies we conducted on the intersection of ageism and DT. Findings were synthesized through Iversen's clasification of four dimensions of ageism, demonstrating how ageism as a multifaceted construct has a reciprocal relationship with digital engagement on the micro- (individual), meso- (social interaction), and macro-levels (discourses and societal practices). Consequently, digital engagement on these levels may exacerbate or reduce technology-based ageism. This forum paper identifies ageism as a barrier to utilizing DT, critically discusses power imbalances, and deconstructs Successful Aging discourses regarding digital engagement. Theoretical implications and recommendations for future interventions and policy measures to mitigate ageism and promote digital engagement and participation in later life are presented. [ABSTRACT FROM AUTHOR]

Purpose: Selection-optimization-compensation (SOC) models have been proposed and applied to various populations to examine successful aging from a multidimensional perspective. This study aimed to develop a scale to measure SOC strategy among late middle-aged women (aged 50 to 64 years) and to test its validity and reliability. Methods: Preliminary items were developed through a literature review and interviews. Overall, 32 preliminary items were confirmed via two rounds of expert content validity analysis and a pilot survey. Data were collected from 299 late middle-aged women and analyzed using IBM SPSS/PC+ version 27.0. Construct validity, criterion validity, and reliability tests were conducted. Results: The SOC strategy scale, reflecting the characteristics of late middle-aged women and developed through exploratory factor analysis, comprised 19 items across four factors: goal-oriented selection, compensation for loss, outcome optimization, and ability-based optimization. The scale explained 66.9% of the variance in total factors, with a Cronbach's α of .95. Statistically significant correlations with the reference scale (r=.30, p<.001) were observed. Conclusion: The developed scale demonstrated high validity and reliability, thus representing a viable instrument for measuring SOC strategy among late middle-aged women. Using this scale to assess the use of SOC approaches in these women can improve our understanding of the aging process and help establish supportive programs for their aging journeys. [ABSTRACT FROM AUTHOR]

Introduction: Life satisfaction refers to a subjective assessment of well-being. On the contrary, vulnerability refers to a situation that can hinder the path to healthy ageing and negatively affect life satisfaction. Aim: In this study, an attempt was made to investigate the level of life satisfaction and the wellness in ageing in relation to both the absence and presence of vulnerability. Material & Methods: The study sample consisted of 116 people aged ≥ 60 without neurocognitive disorders, living in Greece. Study tools were: a) structured socio-demographic questionnaire, b) Tilburg Vulnerability Index (TFI) c) Life Satisfaction Scale and d) supplementary questions in relation to key components of Healthy Ageing. The survey data was processed using the IBM SPSS 25 program. Results: Subjects with a sign of vulnerability compared to those with an absence of it had a significantly lower mean life satisfaction score of -14.5% (23.5 vs 27.4; p<0,001). Also in those with Healthy Ageing components had a lower Interlace of -24.3% (2.3 vs 3.0; p=0,001), Resilience of -14.7% (3.2 vs 3.7; p=0,001), Intimacy of -27.3% (2.9 vs 4.0; p<0,001), Utility of -10.2% (3.8 vs 4.2; p=0,013) or Prosperity by -15.5% (2.8 vs 3.4, p=0,003) while they do not differ in Spirituality (p>0,05). Conclusions: Vulnerability has a notable impact on life satisfaction, negatively affecting the health and well-being of the individual, including the wider health care system. As vulnerability is often preventable and manageable, the development of policies to manage it is a realistic instrument to promote well-being per se. [ABSTRACT FROM AUTHOR]

Background: Games are a promising strategy for rehabilitating older adults. The effect of games on promoting healthy lifestyles and preventing frailty remains uncertain. This article aims to describe the process of development and validation of the game "Bem-me-quer para a saúde"® to promote the acquisition of healthy lifestyles and prevent frailty in over 65-year-olds. Methods: This study comprised three distinct phases, spanning from December 2023 to June 2024. The first phase comprised a thorough review of the scientific literature on the frailty and lifestyles of older adults, a second phase of game design, and a third phase of content and semantic validation conducted by specialized nurses and older adults. Results: After revising literature, this study utilized an e-Delphi with a panel of 14 specialist nurses who underwent two rounds of evaluation. The "Bem-me-quer para a saúde"® game includes a puzzle board with 54 pieces and 30 educational cards. In the final phase, we evaluated the game on a cohort of 50 older adults, highlighting its reflective, interactive, and educational aspects. Conclusions: The game presented sufficient evidence of content validity and relevance to clinical practice. We should conduct additional research to evaluate its impact on lifestyle modification and frailty prevention. [ABSTRACT FROM AUTHOR]

Quality of life, resilience, and life satisfaction are influential variables during periods of change and adaptation, such as retirement. To assess the relationships between these variables and to analyze differences based on sex and length of time in retirement. This descriptive-correlational study was conducted with a sample of 63 participants, aged 50 to 84 years, who were effectively retired and residing in Spain. Participants completed a form measuring levels of resilience, quality of life, life satisfaction, and sociodemographic data. The data showed a positive and significant correlation between resilience and life satisfaction, and between quality of life and life satisfaction. Significant differences were found in quality of life based on the length of time in retirement. This study has elucidated the relationships between quality of life, resilience, and life satisfaction, as well as the influence of sociodemographic variables on these factors. These insights will aid in developing effective intervention programs for the retirement stage that promote quality of life, resilience, and life satisfaction among retired individuals. [ABSTRACT FROM AUTHOR]

Copyright of Continue Education Research is the property of Harbin Normal University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background/Objectives: Jump test assessment is commonly used for physical tests, with different type of devices used for its evaluation. The purpose of the present study was to examine the validity and reliability of a freely accessible mobile application (VertVision, version 2.0.5) for measuring jump performance. Methods: With that intent, thirty-eight college age recreationally active subjects underwent test assessment after a specific warm-up, performing countermovement jumps (CMJs) and squat jumps (SJs) on a contact platform while being recorded with a smartphone camera. Jump height was the criterion variable, with the same formula being used for both methods. Data analysis was performed by two experienced observers. Results: The results showed strong correlations with the contact platform (ICC > 0.9) for both jumps. Furthermore, between-observer reliability was also high (ICC > 0.9; CV ≤ 2.19), with lower values for smallest worthwhile change (≤0.23) and typical error of measurement (≤0.14). Estimation error varied when accounting for both observers, with the SJ accounting for bigger differences (4.1–6.03%), when compared to the CMJ (0.73–3.09%). Conclusions: The study suggests that VertVision is a suitable and handy method for evaluating jump performance. However, it presents a slight estimation error when compared to the contact platform. [ABSTRACT FROM AUTHOR]

Restorative environments have a positive impact on improving the physical and mental health of the elderly. In China, the proportion of elderly residents in aging urban communities is significantly higher than in newly constructed ones, making it essential to understand the restorative potential of public open spaces (POSs) in these settings to promote the development of aging-in-place models. To investigate this issue, we employed the Fuzzy Delphi Method (FDM) and the Analytic Hierarchy Process (AHP) to construct an evaluation system for the restorative potential of public open spaces. Subsequently, we assessed the restorative effects of POSs in the Dabeizhuang community using 320 residents' questionnaires and the fuzzy comprehension evaluation method. The results indicate that the dimension of safety is the most critical factor in creating restorative environments. In contrast, the dimension of comfort is the primary reason affecting the current evaluation of the community's restorative environment. By establishing a restorative environment evaluation system, this research will facilitate the creation of more restorative environments in urban areas, thereby promoting active and healthy aging among elderly residents. [ABSTRACT FROM AUTHOR]

This article focuses on the cultural and aesthetic meanings of horror elements in Finnish children's cinema, situating it within a Nordic context. Combining close reading and intertextual analysis of Ulrika Bengts' Iris (2011), the investigation demonstrates that the horror elements are tonal, aesthetic and thematic, making the film representative of an arthouse-oriented Nordic children's horror genre that differs in significant respects from Anglo-American children's horror. The article also discusses the pedagogical potential of children's films influenced by horror aesthetics and proposes a model that aligns with multiliteracy pedagogy, highlighting the active participation of the audience. This model connects the learners' perspectives with the analytical process of acquiring film literacy, showcasing flexible approaches to understanding horror elements and their intertextuality in children's films. [ABSTRACT FROM AUTHOR]

Copyright of Human Resource Management / Zarzadzanie Zasobami Ludzkimi is the property of Institute of Labour & Social / Instytut Pracy i Spraw Socjalnych and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

We harnessed the analytical power of geospatial analysis and modeling techniques, pioneering a novel approach to studying the spatial distribution of households with at least one senior aged 65 or over, known as senior households (SHHs). We developed and implemented a spatial modeling approach that disaggregates the senior household counts obtained from the U.S. Census block data to residential land parcels. This innovative method models the senior household count on each land parcel, generating a detailed, reliable synthetic microspatial dataset for urban senior studies. Robust spatial analysis techniques are then applied to examine senior household spatial distribution in the context of segregation and access vulnerability in the study area. Our research, conducted in the urban setting of Colorado Springs, provides a deeper understanding of the senior residential landscape and identifies vulnerability. Our research findings are not just academic but also practical tools for planners, policymakers, and community advocates in the city to understand senior residential settlements, segregation, and social inequality. Our adaptable approach can be applied using similar modeling and analysis techniques for different study areas. The synthetic data and its generation approach are valuable resources for future urban senior research, enabling further examinations of different senior residential neighborhood typologies beyond basic demographic and socioeconomic aggregated indicators. They can assist studies interested in analyzing the influence of local factors and neighborhood effects on active aging among individuals, as well as simulating individual senior choices and spatial behaviors. Furthermore, they serve as a comparison baseline for future attempts to develop synthetic senior population data with socioeconomic and health characteristics. [ABSTRACT FROM AUTHOR]