{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T11:55:06Z","timestamp":1782993306290,"version":"3.54.5"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T00:00:00Z","timestamp":1609891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K01AG049102"],"award-info":[{"award-number":["K01AG049102"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R56AG062165"],"award-info":[{"award-number":["R56AG062165"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01AG069147"],"award-info":[{"award-number":["R01AG069147"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"New Investigator Research Grant Award","award":["NIRG-15-362325"],"award-info":[{"award-number":["NIRG-15-362325"]}]},{"DOI":"10.13039\/100000957","name":"Alzheimer\u2019s Association","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000957","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Pepper Center"},{"DOI":"10.13039\/100008069","name":"University of California, San Francisco","doi-asserted-by":"publisher","award":["P30 AG044281"],"award-info":[{"award-number":["P30 AG044281"]}],"id":[{"id":"10.13039\/100008069","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objectives<\/jats:title>\n                  <jats:p>Even before the COVID-19 pandemic, older adults with cognitive impairment living alone (an estimated 4.3 million individuals in the United States) were at high risk for negative health outcomes. There is an urgent need to learn how this population is managing during the pandemic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Research Design and Methods<\/jats:title>\n                  <jats:p>This is a qualitative study of 24 adults aged 55 and older living alone with cognitive impairment from diverse racial\/ethnic backgrounds. Participants\u2019 lived experiences during the pandemic were elicited via 59 ethnographic interviews conducted over the phone either in English, Spanish, or Cantonese. Using a qualitative content analysis approach, interview transcripts were analyzed to identify codes and themes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Qualitative analysis of transcripts revealed 5 themes: (a) fear generated by the pandemic, (b) distress stemming from feeling extremely isolated, (c) belief in misinformation, (d) strategies for coping during the pandemic, and (e) the importance of access to essential services.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Implications<\/jats:title>\n                  <jats:p>This pandemic put a spotlight on the precarity and unmet needs of older adults living alone with cognitive impairment. Findings underscore the need to expand access to home care aides and mental health services for this population.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geront\/gnaa201","type":"journal-article","created":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T18:15:27Z","timestamp":1608142527000},"page":"251-261","source":"Crossref","is-referenced-by-count":61,"title":["The Effects of the COVID-19 Pandemic on the Lived Experience of Diverse Older Adults Living Alone With Cognitive Impairment"],"prefix":"10.1093","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2311-3836","authenticated-orcid":false,"given":"Elena","family":"Portacolone","sequence":"first","affiliation":[{"name":"Institute for Health & Aging, University of California San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Chodos","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine, University of California San Francisco, USA"},{"name":"Division of General Internal Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jodi","family":"Halpern","sequence":"additional","affiliation":[{"name":"School of Public Health, University of California Berkeley, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth E","family":"Covinsky","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine, University of California San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahru","family":"Keiser","sequence":"additional","affiliation":[{"name":"Institute for Health & Aging, University of California San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Fung","sequence":"additional","affiliation":[{"name":"Institute for Health & Aging, University of California San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Rivera","sequence":"additional","affiliation":[{"name":"Institute for Health & Aging, University of California San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thi","family":"Tran","sequence":"additional","affiliation":[{"name":"Institute for Health & Aging, University of California San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Bykhovsky","sequence":"additional","affiliation":[{"name":"Institute for Health & Aging, University of California San Francisco, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julene K","family":"Johnson","sequence":"additional","affiliation":[{"name":"Institute for Health & Aging, University of California San Francisco, USA"},{"name":"Center for Aging in Diverse Communities, University of California San Francisco, 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