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Abstract
This study examined the association between depressive symptoms and self-rated health (SRH) and whether and how such association varies by education among older adults with cancer. Data came from the 2019 National Health Interview Survey. A total of 2,470 participants aged 65 or older who had been diagnosed with cancer by a doctor or other health professional were included in this study. Ordinal logistic regression was used to examine the association between depressive symptoms and SRH and whether and how such association varies by education among older adults with cancer. More depressive symptoms were associated with worse SRH. Such association became stronger with higher education among older adults with cancer. Findings confirm the associations between depressive symptoms and SRH among older adults with cancer. The differential impact of education on SRH and on the association between depressive symptoms and SRH highlights the importance of considering patients' educational attainment in a more comprehensive way when working with older adults with cancer. When conducting distress screening among cancer survivors, oncology social workers should be aware of the complex relationship between education and depression in relation to cancer survivors' SRH.

Summary This qualitative, phenomenological study explored the lived experience of the intersectionality of ageism and racism among older adults, with a focus on interpersonal experiences. Fifteen participants 60+ years of age (M = 67, SD = 7.45) in the U.S. Mountain West identifying as Black, Latino(a), Asian-American/Pacific Islander, or Indigenous engaged in a 1-hour interview. A three-cycle, inductive coding process involved five coders who independently coded interviews and engaged in critical discussion to resolve disagreements. An audit trail, member checking, and peer debriefing enhanced credibility. Findings The results detail four umbrella themes and nine subthemes. The subthemes demonstrate experiences of the intersectionality of ageism with racism reflected through (1) increased disrespect, (2) cultural differences in respect for elders, (3) tokenization, (4) physical appearance, (5) being ignored or discriminated against due to others' discomfort, (6) intersecting experiences of pity, hate, and violence, (7) unspoken bias (including racial profiling), (8) microaggressions: questioning intelligence/ability, and (9) microaggressions: slurs. Multiple themes highlighted how ageism may be racialized through stereotypes related to mental (in)capability. Applications Social work practitioners and researchers can apply the findings from this study to explore interventions aimed at reducing interpersonal, racialized ageist microaggressions related to mental incapability. At the community level, anti-racism and anti-ageism initiatives should collaborate by applying an enhanced understanding of the ways ageism and racism intersect through pity, hate, and violence particularly in public settings such as shopping centers. The findings from this study can also help shape policies aimed at reducing racial profiling and hate crimes toward older adults of color.