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  Subjects -> DISABILITY (Total: 101 journals)
Showing 1 - 200 of 310 Journals sorted alphabetically
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 26)
Aequitas : Revue de Développement Humain, Handicap et Changement Social     Full-text available via subscription   (Followers: 10)
African Journal of Disability     Open Access   (Followers: 8)
Ageing & Society     Hybrid Journal   (Followers: 48)
ALTER - European Journal of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 13)
American Annals of the Deaf     Full-text available via subscription   (Followers: 19)
American Journal of Speech-Language Pathology     Full-text available via subscription   (Followers: 58)
American Journal on Intellectual and Developmental Disabilities     Full-text available via subscription   (Followers: 67)
Aphasiology     Hybrid Journal   (Followers: 61)
Assistive Technology: The Official Journal of RESNA     Hybrid Journal   (Followers: 22)
Audiology     Open Access   (Followers: 12)
Audiology - Communication Research     Open Access   (Followers: 11)
Audiology Research     Open Access   (Followers: 10)
Augmentative and Alternative Communication     Hybrid Journal   (Followers: 50)
Autism     Hybrid Journal   (Followers: 349)
Autism & Developmental Language Impairments     Open Access   (Followers: 16)
Autism in Adulthood     Hybrid Journal   (Followers: 9)
Autism Research     Hybrid Journal   (Followers: 57)
Autism's Own     Open Access   (Followers: 9)
British Journal of Learning Disabilities     Hybrid Journal   (Followers: 102)
British Journal of Special Education     Hybrid Journal   (Followers: 54)
British Journal of Visual Impairment     Hybrid Journal   (Followers: 14)
Canadian Journal of Disability Studies     Open Access   (Followers: 39)
Deafness & Education International     Hybrid Journal   (Followers: 6)
Developmental Disabilities Research Reviews     Hybrid Journal   (Followers: 27)
Disability & Rehabilitation     Hybrid Journal   (Followers: 84)
Disability & Society     Hybrid Journal   (Followers: 90)
Disability and Health Journal     Hybrid Journal   (Followers: 23)
Disability and Rehabilitation: Assistive Technology     Hybrid Journal   (Followers: 46)
Disability Compliance for Higher Education     Hybrid Journal   (Followers: 10)
Disability Studies Quarterly     Open Access   (Followers: 46)
Disability, CBR & Inclusive Development     Open Access   (Followers: 17)
Distúrbios da Comunicação     Open Access  
Early Popular Visual Culture     Hybrid Journal   (Followers: 5)
European Review of Aging and Physical Activity     Open Access   (Followers: 11)
Health Expectations     Open Access   (Followers: 16)
Hearing, Balance and Communication     Hybrid Journal   (Followers: 5)
Inclusion     Full-text available via subscription   (Followers: 21)
Indian Journal of Cerebral Palsy     Open Access   (Followers: 1)
Intellectual and Developmental Disabilities     Full-text available via subscription   (Followers: 43)
Intellectual Disability Australasia     Full-text available via subscription   (Followers: 13)
International Journal of Audiology     Hybrid Journal   (Followers: 20)
International Journal of Developmental Disabilities     Hybrid Journal   (Followers: 41)
International Journal of Disability Management Research     Full-text available via subscription   (Followers: 11)
International Journal of Language & Communication Disorders     Hybrid Journal   (Followers: 60)
International Journal of Orthopaedic and Trauma Nursing     Hybrid Journal   (Followers: 12)
International Journal of Technology Assessment in Health Care     Hybrid Journal   (Followers: 16)
International Journal on Disability and Human Development     Hybrid Journal   (Followers: 23)
Journal for Healthcare Quality     Hybrid Journal   (Followers: 28)
Journal of Accessibility and Design for All     Open Access   (Followers: 14)
Journal of Aging and Health     Hybrid Journal   (Followers: 27)
Journal of Applied Research in Intellectual Disabilities     Hybrid Journal   (Followers: 53)
Journal of Autism and Developmental Disorders     Hybrid Journal   (Followers: 94)
Journal of Deaf Studies and Deaf Education     Hybrid Journal   (Followers: 13)
Journal of Disability & Religion     Hybrid Journal   (Followers: 14)
Journal of Disability Policy Studies     Hybrid Journal   (Followers: 31)
Journal of Disability Studies in Education     Open Access  
Journal of Early Hearing Detection and Intervention     Open Access   (Followers: 7)
Journal of Elder Abuse & Neglect     Hybrid Journal   (Followers: 10)
Journal of Gerontological Social Work     Hybrid Journal   (Followers: 15)
Journal of Intellectual & Developmental Disability     Hybrid Journal   (Followers: 66)
Journal of Intellectual Disabilities     Hybrid Journal   (Followers: 40)
Journal of Intellectual Disability - Diagnosis and Treatment     Hybrid Journal   (Followers: 9)
Journal of Intellectual Disability Research     Hybrid Journal   (Followers: 71)
Journal of Literary & Cultural Disability Studies     Hybrid Journal   (Followers: 15)
Journal of Occupational Therapy, Schools, & Early Intervention     Hybrid Journal   (Followers: 56)
Journal of Policy and Practice In Intellectual Disabilities     Hybrid Journal   (Followers: 25)
Journal of Science Education for Students with Disabilities     Open Access   (Followers: 4)
Journal of Social Work in Disability & Rehabilitation     Hybrid Journal   (Followers: 20)
Journal of Speech, Language, and Hearing Research     Full-text available via subscription   (Followers: 95)
Journal of Spinal Cord Medicine     Hybrid Journal   (Followers: 5)
Learning Disabilities : A Multidisciplinary Journal     Full-text available via subscription   (Followers: 11)
Learning Disability Practice     Full-text available via subscription   (Followers: 26)
Mental Health Practice     Full-text available via subscription   (Followers: 24)
Music and Medicine     Hybrid Journal   (Followers: 2)
Physical & Occupational Therapy in Pediatrics     Hybrid Journal   (Followers: 69)
Physical Disabilities : Education and Related Services     Open Access   (Followers: 4)
Pró-Fono Revista de Atualização Científica     Open Access  
Public Policy and Aging Report     Hybrid Journal   (Followers: 2)
Research and Practice in Intellectual and Developmental Disabilities     Hybrid Journal  
Revista Brasileira de Educação Especial     Open Access   (Followers: 1)
Revista Espaço     Open Access  
Revista Española de Discapacidad     Open Access  
Revista Médica Internacional sobre el Síndrome de Down     Full-text available via subscription   (Followers: 1)
Revue francophone de la déficience intellectuelle     Full-text available via subscription   (Followers: 1)
Scandinavian Journal of Disability Research     Open Access   (Followers: 27)
Sexuality and Disability     Hybrid Journal   (Followers: 18)
Siglo Cero. Revista Española sobre Discapacidad Intelectual     Open Access  
Sign Language Studies     Full-text available via subscription   (Followers: 7)
Society and Mental Health     Hybrid Journal   (Followers: 14)
Speech Communication     Hybrid Journal   (Followers: 16)
Stigma and Health     Full-text available via subscription  
Stigma Research and Action     Open Access   (Followers: 5)
Stress     Hybrid Journal   (Followers: 7)
Technical Aid to the Disabled Journal     Full-text available via subscription   (Followers: 1)
Technology and Disability     Hybrid Journal   (Followers: 28)
Topics in Language Disorders     Hybrid Journal   (Followers: 14)
Visual Cognition     Hybrid Journal   (Followers: 13)
Visual Communication     Hybrid Journal   (Followers: 11)
Visual Communication Quarterly     Hybrid Journal   (Followers: 7)
Visual Studies     Hybrid Journal   (Followers: 5)

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Similar Journals
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Journal of Aging and Health
Journal Prestige (SJR): 1.054
Citation Impact (citeScore): 2
Number of Followers: 27  
 
Hybrid Journal Hybrid journal   * Containing 1 Open Access Open Access article(s) in this issue *
ISSN (Print) 0898-2643 - ISSN (Online) 1552-6887
Published by Sage Publications Homepage  [1118 journals]
  • Utilization of Medications With Cognitive Impairment Side Effects and the
           Implications for Older Adults’ Cognitive Function
    • Authors: Duy Do, Jason Schnittker
      Pages: 1165 - 1177
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1165-1177, October 2020.
      Objectives: Many medications have cognitive impairment, memory loss, amnesia, or dementia as side effects (“cognitive side effects” hereafter), but little is known about trends in the prevalence of these medications or their implications for population-level cognitive impairment. Method: We use data from the National Health and Nutrition Examination Survey (1999–2016) to describe trends in the use of medications with cognitive side effects among adults aged 60+ (N = 16,937) and their implications for cognitive functioning (measured using word learning and recall, animal fluency, and digit symbol substitution assessments). Results: Between 1999 to 2000 and 2015 to 2016, the prevalence of older adults taking one, two, and at least three medications with cognitive side effects increased by 10.2%, 57.3%, and 298.7%, respectively. Compared to non-users, respondents who simultaneously used three or more medications with cognitive side effects scored 0.22 to 0.27 standard deviations lower in word learning and recall (p = .02), digit symbol substitution (p < .01), and the average standardized score of the three assessments (p < .001). Limitation: Dosage of medications associated with cognitive side effects was not measured. Discussion: Concurrent use of medications with cognitive side effects among older adults has increased dramatically over the past two decades. The use of such medications is associated with cognitive impairment and may explain for disparities in cognitive function across subgroups. These findings highlight the need for cognitive screenings among patients who consume medications with cognitive side effects. They also highlight the synergic effects of polypharmacy and potential drug-drug interactions that result in cognitive deficits.
      Citation: Journal of Aging and Health
      PubDate: 2020-01-06T02:18:20Z
      DOI: 10.1177/0898264319895842
      Issue No: Vol. 32, No. 9 (2020)
       
  • Relationship of Medicare–Medicaid Dual Eligibility and Dementia With
           Unplanned Facility Admissions Among Medicare Home Health Care Recipients
    • Authors: Jinjiao Wang, Thomas V. Caprio, Helena Temkin-Greener, Xueya Cai, Adam Simning, Yue Li
      Pages: 1178 - 1187
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1178-1187, October 2020.
      Objective: The objective of this study was to examine the effects of dementia and Medicare–Medicaid dual eligibility on unplanned facility admission among older Medicare home health (HH) recipients. Method: This study involves a secondary analysis of data from the Outcome and Assessment Information Set (OASIS) and billing records (i.e., International Classification of Diseases, 10th Revision [ICD-10] codes) of 6,153 adults ≥ 65 years receiving HH from a nonprofit HH agency in CY 2017. Results: Among dual eligible patients with dementia, 39.3% had an unplanned facility admission of any type, including the hospital, nursing home, or rehabilitation facility. In the multivariable Cox proportional hazard model of time-to-facility admission, dual eligible patients with dementia were more than twice as likely as Medicare-only patients without dementia to have an unplanned facility admission (hazard ratio = 2.35; 95% confidence interval: 1.28, 4.33; p = .006). Discussion: Low income and dementia have interactive effects on facility admissions. Among Medicare HH recipients, dual eligible patients with dementia are the most vulnerable group for unplanned facility admission.
      Citation: Journal of Aging and Health
      PubDate: 2020-01-16T05:57:32Z
      DOI: 10.1177/0898264319899211
      Issue No: Vol. 32, No. 9 (2020)
       
  • Intersectional Effects of Gender, Education, and Geographic Region on
           Functional Health Disparities Among Older Adults in India
    • Authors: Moushumi Roy, Tirth Bhatta, J. Denise Burnette
      Pages: 1188 - 1197
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1188-1197, October 2020.
      Objective: Research on social determinants of health in India has focused largely on the independent influence of education, gender, and region. Using an intersectionality framework in this study, we examine the combined effects of these three key social locators on the critical, yet underexamined outcome of later life functional health. Method: We use data from Wave 1 (2007–2010) of the Study of Global Ageing and Adult Health (SAGE) (N = 7,150) to examine whether the effects of education on functional limitations differ by gender in six highly heterogenous regions of India. Results: The effects of education on functional limitations were significantly greater (β = .026, p < .001) for men than women. Consistent with established regional differences in economic development, cultural practices, and political context, this relationship varied across locales. Discussion: Our findings highlight the need to move beyond independent sources of heterogeneity in examining later life functional health in the global South.
      Citation: Journal of Aging and Health
      PubDate: 2020-01-24T04:30:42Z
      DOI: 10.1177/0898264319899246
      Issue No: Vol. 32, No. 9 (2020)
       
  • Psychosocial Interventions for Family Carers of People With Dementia: A
           Systematic Review and Meta-Analysis
    • Authors: Áine Teahan, Attracta Lafferty, Eilish McAuliffe, Amanda Phelan, Liam O’Sullivan, Diarmuid O’Shea, Emma Nicholson, Gerard Fealy
      Pages: 1198 - 1213
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1198-1213, October 2020.
      Objective:This study aimed to review and synthesize findings of the effectiveness of psychosocial interventions aimed at improving outcomes for family carers of people with dementia. Method: A systematic review and meta-analysis were conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We systematically searched the following databases: Cochrane, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, Excerpta Medica Database (EMBASE), and Applied Social Sciences Index and s (ASSIA). RevMan 5 software was used to conduct meta-analysis and subgroup analysis using a random-effects model. Results: The search yielded 22 high-quality intervention articles that were suitable for further meta-analysis. Meta-analysis revealed that psychosocial interventions have a small to moderate significant effect on carer burden (standardized mean difference [SMD] = −0.34, confidence interval [CI] = [−0.59, −0.09]), depression (SMD = −0.36, CI = [−0.60, −0.13]), and general health (SMD = 0.34, CI = [0.18, 0.51]). Discussion: Psychosocial interventions had a positive impact on carer outcomes; however, these results should be interpreted with caution, given the significant level of heterogeneity in study designs. Future research could examine contextual and implementation mechanisms underlying psychosocial interventions to develop effective support systems for family carers of people with dementia.
      Citation: Journal of Aging and Health
      PubDate: 2020-01-20T07:07:42Z
      DOI: 10.1177/0898264319899793
      Issue No: Vol. 32, No. 9 (2020)
       
  • The Effect of Social Network Size and Composition on the Link Between
           Discrimination and Health Among Sexual Minorities
    • Authors: Katelin E. Leahy, William J. Chopik
      Pages: 1214 - 1221
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1214-1221, October 2020.
      Objectives: Previous research has examined the link between discrimination and health in lesbian, gay, bisexual, and/or transgender (LGBT) individuals. The purpose of this study was to examine if health-promoting variables, like social networks, might disrupt this association. Method: Participants were 2,560 LGBT older adults who reported on the composition of their social network, level of discrimination, stress, and health/well-being. Results: Moderated mediation results indicated that social network size disrupted the associations between discrimination, stress, and health outcomes when social networks were (a) larger and (b) comprised of LGBT individuals (but not straight individuals), regardless of age. Discussion: Larger social networks that include fellow LGBT individuals helped buffer experiences of stress and discrimination on health outcomes among LGBT older adults. Implications for how protective factors can reduce the negative effects of discrimination and stress are discussed.
      Citation: Journal of Aging and Health
      PubDate: 2020-02-29T06:25:28Z
      DOI: 10.1177/0898264320908982
      Issue No: Vol. 32, No. 9 (2020)
       
  • The Double-Burden Effect: Does the Combination of Informal Care and Work
           Cause Adverse Health Outcomes Among Females in China'
    • Authors: Lu Chen, Hongli Fan, Lanlan Chu
      Pages: 1222 - 1232
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1222-1232, October 2020.
      Objective: This study investigates the impact of informal care and work stress on women’s health and further disentangles this effect through intensity and channel analysis. Method: This research uses the 2000–2015 China Health and Nutrition Survey and employs the propensity score matching model with fixed effects. Results: The care and work burden significantly increases the probability of women suffering from chronic diseases, being underweight or overweight, and self-reporting poor health by 0.63%, 1.69%, and 2.35%, respectively. This double-burden effect is exacerbated as the care and work hours increase. Women who care for more than 20 hr and work for more than 50 hr per week experience the most serious health decline. We further find that the double burden leads to health deterioration through channels of reduced exercise and increased psychological stress. Discussion: This study provides a reliable decision-making basis for policy makers to formulate strategies for informal caregivers in China.
      Citation: Journal of Aging and Health
      PubDate: 2020-04-06T07:30:34Z
      DOI: 10.1177/0898264320910916
      Issue No: Vol. 32, No. 9 (2020)
       
  • Personal Mastery and the Medical, Financial, and Physical Cancer Burden:
           Gender and Race Differences Among Older Adults
    • Authors: Tetyana Pudrovska, Andriy Anishkin
      Pages: 1233 - 1243
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1233-1243, October 2020.
      Objectives: We explore how a new cancer diagnosis affects trajectories of personal mastery among non-Hispanic Black and White older adults. We estimate whether and how cancer therapy (chemotherapy, surgery, radiation), the amount and type of health care contacts, the financial burden, and the physical symptoms of cancer explain within- and between-gender differences in mastery. Method: Using the 2006–2014 data from the Health and Retirement Study, we apply matching and multiple regression models testing mediating and moderating effects. Results: White men experience a substantially more pronounced decline in mastery after a cancer diagnosis than all women and Black men. Cancer treatment disproportionately decreases White men’s mastery via exposure to health care settings. Discussion: Cultural norms of masculinity and femininity imbue cancer and its treatment with gender-specific meanings. Deference to medical authority and losses of independence, decision-making, and self-reliance are incompatible with masculinity and might affect mastery more adversely in older White men.
      Citation: Journal of Aging and Health
      PubDate: 2020-04-03T01:26:01Z
      DOI: 10.1177/0898264320912611
      Issue No: Vol. 32, No. 9 (2020)
       
  • Life-Course Trauma and Later Life Mental, Physical, and Cognitive Health
           in a Postapartheid South African Population: Findings From the HAALSI
           study
    • Authors: Collin F. Payne, Sumaya Mall, Lindsay Kobayashi, Kathy Kahn, Lisa Berkman
      Pages: 1244 - 1257
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1244-1257, October 2020.
      Objective: To investigate the relationships between exposure to life-course traumatic events (TEs) and later life mental, physical, and cognitive health outcomes in the older population of a rural South African community. Method: Data were from baseline interviews with 2,473 adults aged ≥40 years in the population-representative Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (HAALSI) study, conducted in 2015. We assessed exposure to 16 TEs, and used logistic regression models to estimate associations with depression, post-traumatic stress disorder (PTSD), activities of daily living disability, and cognitive impairment. Results: Participants reported an average of 5 (SD = 2.4) TEs over their lifetimes. Exposure was ubiquitous across sociodemographic and socioeconomic groups. Trauma exposure was associated with higher odds of depression, PTSD, and disability, but not with cognitive health. Discussion: Results suggest that TEs experienced in earlier life continue to reverberate today in terms of mental health and physical disability outcomes in an older population in rural South Africa.
      Citation: Journal of Aging and Health
      PubDate: 2020-03-24T10:45:10Z
      DOI: 10.1177/0898264320913450
      Issue No: Vol. 32, No. 9 (2020)
       
  • A Longitudinal Investigation of Falls and Motor Vehicle Crashes in Older
           Drivers
    • Authors: Caitlin N. Pope, Pariya L. Fazeli, Tyler R. Bell, Meghana S. Gaini, Sylvie Mrug, David E. Vance, Karlene K. Ball
      Pages: 1258 - 1266
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1258-1266, October 2020.
      Objective: To assess the longitudinal association between fall history reported at a driver’s license screening visit and the likelihood of subsequent vehicle crashes. Method: A total of 1,127 older adults were recruited from Maryland State Motor Vehicle Administration sites and interviewed annually over 15 years. Results: Individuals who reported a previous fall were more likely to be female, perform worse on physical functioning and divided attention tasks, and report more situational driving avoidance compared with non-fallers at baseline. Females who reported a fall at baseline had a 2.6× greater likelihood of subsequently reporting a crash over the 15 years than males. Among those who reported a fall at baseline, greater weekly driving exposure over the 15 years was associated with a 23% higher likelihood of a subsequent crash. Discussion: These findings support the utility of investigating nontraditional driver screening methods to identify drivers who may be at increased risk of future driving difficulties.
      Citation: Journal of Aging and Health
      PubDate: 2020-04-28T06:29:07Z
      DOI: 10.1177/0898264320915111
      Issue No: Vol. 32, No. 9 (2020)
       
  • Association of High-Density Lipoprotein Cholesterol With Cognitive
           Function: Findings From the PROspective Study of Pravastatin in the
           Elderly at Risk
    • Authors: Leslie Grasset, Roelof A. J. Smit, Michelle R. Caunca, Tali Elfassy, Michelle C. Odden, Jeroen van der Grond, Mark A. van Buchem, David J. Stott, Naveed Sattar, Stella Trompet, J. Wouter Jukema, Adina Zeki Al Hazzouri
      Pages: 1267 - 1274
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1267-1274, October 2020.
      Objective: We aimed to examine whether variability in high-density lipoprotein cholesterol (HDL-c) over time was associated with cognitive function. Method: We conducted a post hoc analysis of the PROspective Study of Pravastatin in the Elderly at Risk (PROSPER) trial. Our sample included 4,428 participants with at least two repeated HDL-c measures between Months 3 and 24 postbaseline and with cognitive assessments at Month 30. HDL-c variability was defined as the intraindividual standard deviation over each person’s repeated measurements. Results: Higher HDL-c variability was associated with worse performance on the Letter-Digit Coding Test (β [95% confidence interval] [CI] = −4.39 [−7.36, −1.43], p = .004), immediate recall on the 15-Picture Learning Test (β [95% CI] = −0.98 [−1.86, −0.11], p = .027), and delayed recall on the 15-Picture Learning Test (β [95% CI] = −1.90 [−3.14, −0.67], p = .002). The associations did not vary by treatment group. Discussion: Our findings suggest that variability in HDL-c may be associated with poor cognitive function among older adults.
      Citation: Journal of Aging and Health
      PubDate: 2020-05-27T07:40:05Z
      DOI: 10.1177/0898264320916959
      Issue No: Vol. 32, No. 9 (2020)
       
  • Self-Perceptions of Aging and Control of Life in Late Adulthood:
           Between-Person and Within-Person Associations
    • Authors: Meng Sha Luo, Lydia W. Li, Ernest Wing Tak Chui
      Pages: 1275 - 1281
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1275-1281, October 2020.
      Objectives: This study aimed to examine the longitudinal relationship between two central concepts in aging research—self-perceptions of aging (SPA) and perceived control of life (COL). Method: The data came from three measurement points over a 9-year period in the Health and Retirement Study (HRS). A random intercepts cross-lagged panel model (RI-CLPM) was estimated. Results: The covariations between SPA and COL across 9 years were evident at both the between-person level and the within-person within-time level. The results revealed a reciprocal relationship between SPA and COL: Higher than usual negative SPA predicted within-person decreases in COL 4 years later, and lower than usual COL predicted future within-person increases in negative SPA. Furthermore, SPA were found to have a somewhat larger effect on COL than the corresponding influence of COL on SPA. Discussion: This study enriches the stereotype embodiment theory and the practice by documenting a reciprocal interrelationship between SPA and COL.
      Citation: Journal of Aging and Health
      PubDate: 2020-05-13T05:42:12Z
      DOI: 10.1177/0898264320917303
      Issue No: Vol. 32, No. 9 (2020)
       
  • Perceived Patient Pain and Spousal Caregivers’ Negative Affect: The
           Moderating Role of Spouse Confidence in Patients’ Pain Management
    • Authors: Suyoung Nah, Lynn M. Martire, Ruixue Zhaoyang
      Pages: 1282 - 1290
      Abstract: Journal of Aging and Health, Volume 32, Issue 9, Page 1282-1290, October 2020.
      Objectives: This study examined whether older patients’ greater daily pain perceived by their spouses was associated with spouses’ higher daily negative affect. We further investigated whether spouses’ lower confidence in patients’ ability to manage pain exacerbated the daily association between perceived patient pain and spouses’ negative affect. Method: We used baseline interviews and a 22-day diary of knee osteoarthritis patients and their spouses (N = 144 couples). Multilevel models were estimated to test hypotheses. Results: Daily perceived patient pain was not associated with spouses’ daily negative affect. However, spouse confidence significantly moderated the association. Only spouses with lower confidence in patients’ pain management experienced higher negative affect on days when they perceived that patients’ level of pain was higher than usual. Discussion: Findings suggest that spousal caregivers’ lack of confidence in patients’ pain management may be a risk factor for spouses’ affective distress in daily life.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-02T08:19:49Z
      DOI: 10.1177/0898264320919631
      Issue No: Vol. 32, No. 9 (2020)
       
  • Psychological Distress and Alzheimer’s Disease Mortality in the United
           States: Results from the 1997–2014 National Health Interview
           Survey-National Death Index Record Linkage Study
    • Authors: Gopal K. Singh, Hyunjung Lee
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: This study examines the association between psychological distress and Alzheimer’s disease mortality among US adults aged ≥45. Methods: We analyzed the Kessler 6-item psychological distress scale as a risk factor for Alzheimer’s mortality using the pooled 1997–2014 National Health Interview Survey (NHIS)- National Death Index (NDI) database (N = 265,089). Cox regression was used to model mortality as a function of psychological distress and sociodemographic and behavioral covariates. Results: The Alzheimer’s mortality risk was 97% higher (HR = 1.97; 95% confidence interval [CI] = 1.37, 2.84) in adults with serious psychological distress compared with those without psychological distress, controlling for sociodemographic covariates. The relative mortality risk remained statistically significant (HR = 1.49; 95% CI = 1.04, 2.13) after additional adjustment for smoking, alcohol consumption, health status, activity limitation, and body mass index. Discussion: US adults had significantly higher risks of Alzheimer’s disease mortality at higher psychological distress levels. These findings underscore the significance of addressing psychological well-being as a strategy for reducing Alzheimer’s disease mortality.
      Citation: Journal of Aging and Health
      PubDate: 2020-12-04T03:04:25Z
      DOI: 10.1177/0898264320977309
       
  • The Association of Neighborhood Medical Facilities with Aging in Place and
           Risk of Incident Myocardial Infarction
    • Authors: Janene R. Brown, Jana A. Hirsch, Suzanne E. Judd, Philip M. Hurvitz, Virginia J. Howard, Monika Safford, Jeffrey Moore, Gina S. Lovasi
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Aging in place (residential stability) is a desirable means of aging where adults remain in their homes, even when facing challenges that impair their capacity for self-care. Residential stability, especially following acute health challenges, depends on individual and community factors, possibly including proximity to medical facilities. Methods: We explored the association between the density of medical facilities around homes with risk of incident myocardial infarction (MI) and with aging in place following incident MI. Results: Densities of neighborhood pharmacies were not associated with aging in place or time to MI. High densities of neighborhood clinical care facilities were significantly associated with decreased residential stability. Discussion: The lack of significant associations between medical facility exposures and MI-related outcomes, coupled with prior findings, casts doubt on their salience and may indicate that other neighborhood features are more strongly associated with these outcomes.
      Citation: Journal of Aging and Health
      PubDate: 2020-11-30T11:06:34Z
      DOI: 10.1177/0898264320975228
       
  • Association Between Different Forms of Elder Mistreatment and Cognitive
           Change
    • Authors: Mengting Li, XinQi Dong
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Elder mistreatment (EM) is associated with worse physical health and psychological well-being, but little is known regarding its cognitive consequences. Methods: Data were derived from the T1–T2 PINE (n = 2713). EM was measured by psychological, physical, and sexual mistreatment; financial exploitation; and caregiver neglect. Cognitive function was evaluated by global cognition, episodic memory, working memory, processing speed, and Mini-Mental State Examination. Linear regression was used. Results: At baseline, physical mistreatment and caregiver neglect were associated with lower global cognition and cognitive domains, while psychological mistreatment was associated with higher cognitive function. Older adults with incident psychological mistreatment, physical mistreatment, and caregiver neglect had a faster decrease in global cognition and cognitive domains over 2 years. Discussion: This study is among the first to examine the association between different forms of EM and cognitive change. These findings provide a basis for engaging ethnic minorities with EM to maintain cognitive health.
      Citation: Journal of Aging and Health
      PubDate: 2020-11-30T08:24:59Z
      DOI: 10.1177/0898264320976772
       
  • Are Positive Childhood Experiences Linked to Better Cognitive Functioning
           in Later Life': Examining the Role of Life Course Pathways
    • Authors: Haena Lee, Markus Schafer
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: We examine whether childhood family well-being is associated with cognitive functioning and to what extent the association between the family context and cognitive functioning is explained by adulthood resources. Methods: Data are drawn from the National Social Life, Health, and Aging Project Wave 3 (2015/2016; N = 3361). We measured cognitive functioning using the Montreal Cognitive Assessment. Childhood family factors included family-life happiness, family structure, and family socioeconomic status. Education, social connectedness, self-mastery, and self-rated health were assessed as adulthood resources. Results: Respondents who grew up in a happy family had significantly higher levels of cognitive functioning. The formal mediation test suggests that a happy family life during childhood has a positive association with later cognition, in part, by enhancing self-mastery in adulthood. Discussion: Our findings provide evidence that positive childhood experiences are linked to later life cognition. The sense of control people have over their life circumstances is one potential pathway explaining this association.
      Citation: Journal of Aging and Health
      PubDate: 2020-11-24T07:20:01Z
      DOI: 10.1177/0898264320972547
       
  • Food insecurity and healthcare access, utilization, and quality among
           middle and later life adults in California
    • Authors: Emily A. Janio, Dara H. Sorkin
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: This study examined the association between food insecurity status and healthcare access, utilization, and quality among adults aged 55 years and older. Methods: Data collected between 2011 and 2016 for the California Health Interview Survey were used. The sample included 72,212 individuals who were divided into three groups: food secure (FS), low food security (L-FS), and very low food security (VL-FS). Results: Logistic regression analyses controlled for demographics. Food insecurity was associated with decreased access to and quality of care and increased utilization. Specifically, VL-FS was more likely to delay care than FS. Additionally, VL-FS and L-FS had greater odds of visiting an emergency room than FS. Furthermore, VL-FS and L-FS were more likely to have a doctor who did not always explain aspects of care carefully compared to FS. Discussion: These findings suggest a need for increased screening for food insecurity in healthcare settings.
      Citation: Journal of Aging and Health
      PubDate: 2020-10-31T11:50:12Z
      DOI: 10.1177/0898264320967563
       
  • Are Disability Rates among People with Diabetes Increasing in Germany'
           A Decomposition Analysis of Temporal Change between 2004 and 2015

         This is an Open Access Article Open Access Article

    • Authors: Stefanie Sperlich, Johannes Beller, Jelena Epping, Batoul Safieddine, Juliane Tetzlaff, Siegfried Geyer
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: We investigated changes in the prevalence of disabilities among individuals with type 2 diabetes and analyzed the contribution of comorbidities on this change. Methods: Data were drawn from the Survey of Health, Ageing, and Retirement in Europe (SHARE). We estimated predicted probabilities of impaired (instrumental) activities of daily living (IADL and ADL) by means of logistic regression. Multivariate decomposition was employed for analyzing the impact of comorbidities on changes in disability rates. Results: Among people with diabetes, ADL difficulties rose significantly from 11.3% (2004) to 19.1% (2015), while IADL difficulties increased among younger diabetics from 11.5% to 18.3%. Decomposition analysis revealed that the parallel increase in comorbidities contributed to the rise in disabilities. Discussion: We found disability rates among people with diabetes in Germany to be increasing over time, pointing toward a growing demand of tertiary prevention for these individuals to maintain functional health and quality of life.
      Citation: Journal of Aging and Health
      PubDate: 2020-10-31T11:35:25Z
      DOI: 10.1177/0898264320970324
       
  • Quality of Life and Disability-free Survival in the Elderly: The
           Locomotive Syndrome and Health Outcome in Aizu Cohort Study
    • Authors: Cheng-Tzu Hsieh, Hajime Yamazaki, Jui Wang, Tsukasa Kamitani, Yosuke Yamamoto, Shunichi Fukuhara
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: The Short Form 12 Survey (SF-12) three-component model is used to compute health-related quality of life (QoL): it includes physical, mental, and role-social QoL. We asked whether the SF-12 three-component model is associated with disability-free survival. Methods: People ≥65 years old were included (n = 2634). SF-12 scores were assessed at baseline. The outcome was a composite of loss of independence (LoI) and death. LoI was defined using Japan’s long-term care insurance categories. Hazard ratios (HRs) for LoI or death were estimated using Cox proportional hazards models. Results: Better physical QoL was inversely associated with LoI or death (adjusted HR per 10-point increase: .88 [95% CI: .81–.96]), but mental QoL was not. Better role-social QoL was inversely associated with LoI or death only among participants with higher than average physical QoL (adjusted HR per 10-point increase: .79 [95% CI: .65–.96], p for interaction = .04). Discussion: Physical QoL was associated with disability-free survival, and role-social QoL was associated with disability-free survival among those with better physical QoL.
      Citation: Journal of Aging and Health
      PubDate: 2020-10-30T12:08:25Z
      DOI: 10.1177/0898264320970323
       
  • Personality, Retirement, and Cognitive Impairment: Moderating and
           Mediating Associations
    • Authors: Jason E. Strickhouser, Angelina R. Sutin
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Five-factor model (FFM) personality traits, including higher conscientiousness and lower neuroticism, are associated with lower risk of dementia and cognitive impairment. In this research, we test whether retirement status moderates and/or mediates the relation between personality and cognitive impairment. Method: We used data from the Health and Retirement Study (N = 9899), a longitudinal study of Americans over the age of 50 years, to examine moderating and mediating associations between personality traits and retirement status on risk of dementia and cognitive impairment not dementia (CIND) over an 8–10 year follow-up. Results: Personality and retirement each had strong, independent associations with risk of dementia and CIND. There were not, however, strong or consistent, moderating or mediating associations between personality and retirement predicting impairment risk. Discussion: Overall, these results indicate that personality and retirement are independent risk factors for incident cognitive impairment. Mechanisms other than retirement are likely to explain this association.
      Citation: Journal of Aging and Health
      PubDate: 2020-10-25T04:09:36Z
      DOI: 10.1177/0898264320969080
       
  • Self-perceptions of aging and domain-specific health outcomes among
           midlife and later-life couples
    • Authors: Meng Sha Luo, Lydia W. Li, Rita Xiaochen Hu
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: This study places the self-perceptions of aging (SPA)-health link in the couple context and examines how changes in one’s own and spouse’s SPA influence multiple health domains and how such associations differ by gender. Methods: Fixed-effects regression models were estimated. Data were drawn from the Health and Retirement Survey (N = 5972). Results: For both husbands and wives, almost all health domains declined when their own SPA became more negative. The spouse’s SPA were associated with one’s self-rated health, regardless of gender. Gender differences existed in some cross-spousal health effects; while the husband’s SPA were associated with his wife’s depressive symptoms, the wife’s SPA were associated with her husband’s physical disability, functional limitations, and chronic diseases. Discussion: The SPA–health association extends beyond the individual in married persons, demonstrating intertwined health trajectories in older couples. The detrimental effects of ageism might be underestimated if the spillover effects were not considered.
      Citation: Journal of Aging and Health
      PubDate: 2020-10-09T06:21:25Z
      DOI: 10.1177/0898264320966263
       
  • Age Differences in the Use of Health Information Technology Among Adults
           in the United States: An Analysis of the Health Information National
           Trends Survey
    • Authors: Henry K. Onyeaka, Perla Romero, Brian C. Healy, Christopher M. Celano
      Abstract: Journal of Aging and Health, Ahead of Print.
      Background: Despite significant advancements in the use of health information technologies (HITs) in health care, older adults’ adoption of new technologies has consistently lagged behind that of younger adults. Objective: To compare ownership rates and preferences for utilizing technology for health information exchange among older and younger adults. Methods: Utilizing data from the 2017 and 2018 iterations of the Health Information National Trends Survey (n = 6789), we performed multivariable logistic regression while controlling for sociodemographic characteristics. Results: Older adults were less likely than younger adults to own technological devices such as smartphones, less likely to report finding these tools beneficial in monitoring their health, and less likely to use these tools in communicating with their health providers. However, these differences were substantially attenuated after adjustment for technology ownership. Discussion: Future research should aim to identify factors associated with access, usability, and adoption of HIT for managing care among older adults.
      Citation: Journal of Aging and Health
      PubDate: 2020-10-08T06:01:26Z
      DOI: 10.1177/0898264320966266
       
  • Transitioning to Long-Term Care: Family Caregiver Experiences of Dementia,
           Communities, and Counseling
    • Authors: Rachel Zmora, Tamara L. Statz, Robyn W. Birkeland, Hayley R. McCarron, Jessica M. Finlay, Christina E. Rosebush, Joseph E. Gaugler
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Previous analyses of interventions targeting relationships between family caregivers of people with Alzheimer’s disease and related dementias and residential long-term care (RLTC) staff showed modest associations with caregiver outcomes. This analysis aimed to better understand interpersonal and contextual factors that influence caregiver–staff relationships and identify targets for future interventions to improve these relationships. Methods: Using a parallel convergent mixed methods approach to analyze data from an ongoing counseling intervention trial, descriptive statistics characterized the sample of 85 caregivers and thematic analyses explored their experiences over 4 months. Results: The findings illustrated that communication, perceptions of care, and relationships with staff are valued by family caregivers following the transition of a relative with dementia to RLTC. Discussion: The findings deepen understanding of potential intervention targets and mechanisms. These results can inform future psychosocial and psychoeducational approaches that assist, validate, and empower family caregivers during the transition to RLTC.
      Citation: Journal of Aging and Health
      PubDate: 2020-09-29T02:46:52Z
      DOI: 10.1177/0898264320963588
       
  • Timing of Daily Activities over a 24-Hour Period and Affective Status
           among a National Cohort of Older Dementia Caregivers
    • Authors: Sarah T. Stahl, Juleen Rodakowski, Stephen F. Smagula
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: To examine the allocation of daily activities over a 24-hour period in caregivers (CGs) with and without a probable affective disorder. Methods: Participants were 192 older dementia CGs (mean age = 72.9 years, 70% female) who participated in the National Study of Caregiving. Time diary data were used to measure the duration and timing that caregivers were doing hygienic self-care, eating/drinking, household care, physical caregiving, medical caregiving, socializing, and television viewing. Affective status was assessed using the two-item Patient Health Questionnaire and the Generalized Anxiety Disorder screeners. Results: CGs were more likely to screen positive for depression/anxiety symptoms if they started hygienic self-care later (OR = 1.76, 95% CI = 1.10–2.83) and started medical caregiving later (OR = 2.34, 95% CI = 1.24–4.41). Hygienic self-care start times attenuated the effects of medical caregiving on the affective status. Discussion: Later timing of hygienic self-care may be an important behavioral response that contributes to affective disorder risk in dementia CGs.
      Citation: Journal of Aging and Health
      PubDate: 2020-09-25T02:16:45Z
      DOI: 10.1177/0898264320962363
       
  • Change in Social Engagement among Incident Caregivers and Controls:
           Findings from the Caregiving Transitions Study
    • Authors: Chelsea Liu, Chanee D. Fabius, Virginia J. Howard, William E. Haley, David L. Roth
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives:We aimed to compare incident family caregivers and matched controls on change in social network variables and satisfaction with social activities. Methods: A total of 479 participants from the Caregiving Transitions Study were included in the analysis, 244 (50.9%) of whom began substantial and sustained caregiving between baseline and follow-up interviews. We assessed associations between incident caregiving and change in social network size, change in monthly social contact, and satisfaction with social activities. Results: Incident caregivers reported lower satisfaction with social activities and greater decline in social network size than controls. Among only the caregivers, dementia caregivers reported greater decline in social network size while caregivers who were spouses, experienced higher strain, and provided more hours of care reported lower satisfaction with social activities. Discussion: Social engagement declined more among incident caregivers than controls. Future studies should aim to understand why subgroups of caregivers reported lower social engagement.
      Citation: Journal of Aging and Health
      PubDate: 2020-09-23T08:49:24Z
      DOI: 10.1177/0898264320961946
       
  • Neighborhood Participation Is Less Likely among Older Adults with Sidewalk
           Problems
    • Authors: Erica Twardzik, Philippa Clarke, Suzanne Judd, Natalie Colabianchi
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: This cross-sectional study examines the association between perceived sidewalk conditions and neighborhood participation among older adults in the REasons for Geographic and Racial Differences in Stroke (REGARDS) study. Methods: Between 2013–2016, 14,233 REGARDS participants completed a second in-home visit. Using logistic regression, we cross-sectionally examined if perceived severity of sidewalk problems was associated with going into the neighborhood less than once compared to 1–7 times per week. Results: The analytic sample included participants (N = 9863) with nonmissing data. The likelihood of going into the neighborhood less than one time per week was greater among participants who reported minor (OR = 1.15; 95% CI: 1.00, 1.33), somewhat serious (OR = 1.41; 95% CI: 1.17, 1.70), and very serious (OR = 1.65; 95% CI: 1.38, 1.98) sidewalk problems in their neighborhood compared to those reporting no sidewalk problems, independent of demographic, socioeconomic, and impairment characteristics. Discussion: Perceived sidewalk problems appear to deter neighborhood participation among older adults.
      Citation: Journal of Aging and Health
      PubDate: 2020-09-22T04:00:11Z
      DOI: 10.1177/0898264320960966
       
  • Patterns of Psychoactive Medication Use in Community-Dwelling Older Adults
           in the US in 2016: A Descriptive Cross-Sectional Study
    • Authors: Rashmita Bajracharya, Danya M. Qato
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: We aim to quantify any use and long-term use patterns of psychoactive medications and explore differences in use by sociodemographic factors in older adults (60–85 years) using the 2016 Medical Expenditure Panel Survey. Methods: Prevalence estimates of any use and long-term use were calculated. Chi-square and crude odds ratios were calculated to estimate differences in any use and long-term use of psychoactive medication by sociodemographic characteristics of respondents. Results: Thirty percent of older adults in the US reported any use of psychoactive medications. Long-term use was significantly higher in women (28.3% [95% confidence interval: 26.5, 30.2]), white (27.8 [26.1, 29.7]), presently unmarried (27.5 [25.4, 29.7]), and low-income (30.3 [27.7, 32.9]) subgroups than in men (20.5 [18.4, 22.5]), Black (14.7 [12.3, 17.1]), presently married (22.8 [20.7, 24.9]), and high-income (21.1 [19.1, 23.1]) subgroups, respectively. Discussion: Despite continued risks associated with use, long-term use of psychoactive medications is prevalent in the older adult population in the US. Given the increased complexity of pharmacotherapy regimens in this population, enhanced efforts at improving use of psychoactive medications should be intensified.
      Citation: Journal of Aging and Health
      PubDate: 2020-09-22T03:42:07Z
      DOI: 10.1177/0898264320959293
       
  • Musculoskeletal Pain Experienced on Most Days is a Common Accompaniment of
           Ageing amongst Community-Dwelling Older Australians: A Questionnaire-Based
           Study
    • Authors: Julia F-M. Gilmartin-Thomas, Michael E. Ernst, Mark R. Nelson, Jessica Lockery, Stephanie A. Ward, Robyn L. Woods, Carlene Britt, Anne Murray, Barbara Workman, John McNeil
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: To describe the prevalence, location and impact of moderate to severe pain experienced on most days in community-dwelling older (≥70 years) adults who were ASPirin in Reducing Events in the Elderly (ASPREE) clinical trial participants. Methods: Cross-sectional ASPREE Longitudinal Study of Older Persons (ALSOP) data were collected from self-reported questionnaires administered to 16,439 ASPREE participants. Results: Of 14,155 respondents, 41% of males (n = 2651/6475) and 50% of females (n = 3803/7680) reported experiencing pain on most days. One quarter of respondents reported experiencing pain on most days that was moderate or severe in intensity (n = 3560/14,155), commonly located in the lower back, knees and upper back. Of those reporting moderate or severe pain, 51% reported taking analgesic medication on most days (n = 1812/3560), almost one-third also reported regular interference with sleep (29%, n = 1024/3560), walking (35%, n = 1239/3560) and daily activities (41%, n = 1467/3560). Discussion: Lower back, knee or upper back pain is a common accompaniment of ageing.
      Citation: Journal of Aging and Health
      PubDate: 2020-09-11T08:38:54Z
      DOI: 10.1177/0898264320952914
       
  • Systematic Review and Meta-Analysis of Intervention Studies with General
           Practitioner Involvement Focused on Falls Prevention for
           Community-Dwelling Older People
    • Authors: Lynette Mackenzie, Ann-Marie Beavis, Amy C. W. Tan, Lindy Clemson
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Falls are a significant health problem for the ageing population. This review aimed to identify effective falls prevention interventions with involvement of general practitioners (GPs). Methods: Systematic review of randomised controlled trials conducted from 1999–2019, with meta-analysis. Searches located 2736 articles. A quality assessment was conducted of all included studies. Results: 21 randomised controlled trials met the inclusion criteria and 19 studies could be included in a meta-analysis. Overall, studies were not effective for reducing multiple falls (Relative Risk (RR) 1.16, 95% CI .97–1.39 and p = .10) or reducing one or more falls (RR .91, 95% CI: .82–1.01 and p = .08), but were effective for reducing injurious falls (RR .76, 95% CI: .66–.87 and p = .001). Discussion: Studies involving the GP in an active role and aligned with the primary care context were effective. The fidelity of interventions was limited by independent GP decisions and older participants being required to initiate the intervention.
      Citation: Journal of Aging and Health
      PubDate: 2020-09-11T08:35:08Z
      DOI: 10.1177/0898264320945168
       
  • Positive Encounters as a Buffer: Pain and Sleep Disturbances in Older
           Adults’ Everyday Lives
    • Authors: Meng Huo, Yee To Ng, Jamie L. Fuentecilla, Kate Leger, Susan T. Charles
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: To test whether older adults’ pain was bidirectionally associated with nighttime sleep disturbances and whether daily positive encounters attenuated these associations. Methods: Participants (N = 292, mean = 73.71 years old) from the Daily Experiences and Well-being Study indicated pain and positive encounters with close partners (e.g., family and friends) and nonclose partners (e.g., acquaintances and service providers) every 3 hours throughout each day across 4–6 days. They also reported nighttime sleep disturbances the following morning. Results: Multilevel models revealed that participants with more prior nighttime sleep disturbances reported more severe pain the next day. This link was attenuated on days when participants had a greater proportion of positive encounters or viewed encounters as more pleasant, especially when these encounters occurred with close partners. Discussion: This study identifies benefits of positive encounters to older adults and sheds light on ways that may alleviate their pain from a social perspective.
      Citation: Journal of Aging and Health
      PubDate: 2020-09-08T03:25:06Z
      DOI: 10.1177/0898264320958320
       
  • Polyvictimization and Recurrent Falling in Older Ecuadorian Adults: The
           Mediation Role of Depressive Symptoms
    • Authors: Carlos A. Reyes-Ortiz, Mario U. Perez-Zepeda, José M. Ocampo-Chaparro, Adalberto Campo-Arias, Miguel G. Borda, Holly M. Holmes, John S. Luque
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: To assess depressive symptoms as a mediator in the association between polyvictimization and recurrent falling. Methods: Using data from the Salud, Bienestar y Envejecimiento (Health, Well-being, and Aging) Ecuador Study, we analyzed community-dwelling adults 60 years and older (n = 5227). Recurrent falling was determined as ≥2 falls during the prior 12 months. Polyvictimization was determined as a history of ≥2 types of abuse. The mediator was depressive symptoms. Mediation analyses were based on the VanderWeele method. Results: Polyvictimization was significantly associated with higher odds of recurrent falling, and odds ratio (OR) = 1.45 (95% confidence intervals [CI] 1.20–1.76). Higher depressive symptoms increase the odds for recurrent falling (OR = 1.09 and 95% CI 1.07–1.11). Moreover, depressive symptoms were a significant mediator between polyvictimization and recurrent falling. The mediating effect was 28.4%. Discussion: Polyvictimization was associated with higher odds of recurrent falling, and this association was mediated by depressive symptoms.
      Citation: Journal of Aging and Health
      PubDate: 2020-09-02T04:08:54Z
      DOI: 10.1177/0898264320952916
       
  • How Midlife Chronic Stress Combines with Stressful Life Events to
           Influence Later Life Mental and Physical Health for Husbands and Wives in
           Enduring Marriages
    • Authors: Kandauda A. S. Wickrama, Eric T. Klopack, Catherine W. O’Neal
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: To investigate how midlife chronic stress (40–50 years) and subsequent acute stressful events (50–65 years) influence husbands’ and wives’ later life mental and physical health (65+ years). Methods: Dyadic structural equation modeling was used with prospective data over 25 years from 256 husbands and wives in enduring marriages. Results: For both spouses, midlife chronic stress influenced the occurrence of subsequent acute stressful life events, which in turn influenced both depressive symptoms and poor physical health in later years. For both spouses, midlife chronic stress also directly influenced depressive symptoms. Wives’ midlife chronic stress also directly influenced their own poor physical health and husbands’ depressive symptoms in later years. Discussion: These findings enhance our knowledge about the long-term joint influence of midlife chronic stress and acute stressful life events on health outcomes of husbands and wives in later years and identify dependencies between spouses, which can inform health preventive intervention programs.
      Citation: Journal of Aging and Health
      PubDate: 2020-09-01T08:37:20Z
      DOI: 10.1177/0898264320952905
       
  • Mentorship and Training to Increase Diversity of Researchers and
           Practitioners in the Field of Aging and Alzheimer’s Disease: A Scoping
           Review of Program Characteristics
    • Authors: Stephanie Ureña, Lucy A. Ingram, Katherine Leith, Matthew C. Lohman, Nicholas Resciniti, Lindsey Rubin, Maggi C. Miller, Daniela B. Friedman
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Diversity is needed within the aging and Alzheimer’s disease and related dementias (ADRD) research and practice workforce to comprehensively address health inequities faced by underrepresented minority (URM) older adults. We conducted a scoping review of training programs designed to diversify the pool of researchers and practitioners in the field of aging and ADRD. Methods: Online database searches yielded 3976 articles published from 1999 to 2019. Fourteen studies met the inclusion criteria. Results: All programs were from the United States and included URM populations. Nine programs included students, one targeted university faculty, and four targeted clinical staff. Only five programs were guided by theory. Discussion: Our review identified URMs’ desire for culturally diverse and representative mentorship, the need for career development support at various training stages, and the importance of incorporating theory to program design. It also identified key characteristics for future program development, creation of systematic evaluation standards, and opportunities for promotion.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-31T02:01:45Z
      DOI: 10.1177/0898264320953345
       
  • Dual Trajectories of Social Isolation and Dementia in Older Adults: A
           Population-Based Longitudinal Study
    • Authors: Xiaoling Xiang, Patrick Ho Lam Lai, Luoman Bao, Yihang Sun, Jieling Chen, Ruth E. Dunkle, Donovan Maust
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: To identify the interrelations between the trajectories of social isolation and dementia in older adults. Methods: Data came from the National Health and Aging Trends Study 2011–2018 surveys. Group-based dual trajectory modeling was used to examine trajectories and their interrelations. Results: Four trajectories of social isolation—rarely isolated (62.2%), steady increase (13.5%), steady decrease (7.4%), and persistently isolated (16.9%) and dementia risk—persistently low risk (80.4%), increasing with early onset (3.9%), increasing with late onset (4.5%), and persistently high risk (11.2%) emerged. Two-thirds of the low-risk dementia group were in the rarely isolated group. The high-risk dementia group had the most overlap with the decreasing social isolation group (47%), followed by the persistently isolated group (28%). Conclusions: Social isolation and dementia mostly evolved in the same direction. However, the pattern of associations between these trajectories is intricate and may be reversed among long-term dementia survivors.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-29T09:04:44Z
      DOI: 10.1177/0898264320953693
       
  • Volunteering among Older Lesbian and Gay Adults: Associations with Mental,
           Physical and Social Well-Being
    • Authors: Anthony Lyons, Beatrice Alba, Andrea Waling, Victor Minichiello, Mark Hughes, Karen I. Fredriksen-Goldsen, Samantha Edmonds, Michelle Blanchard, Corey Irlam
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Volunteering is associated with positive well-being among older people, providing opportunities to stay active and socially connected. This may be especially relevant for older lesbian and gay people, who are less likely than heterosexual people to have a partner, children or support from their family of origin. Methods: Patterns of volunteering and mental, physical and social well-being were examined in a sample of 754 lesbian and gay adults in Australia aged 60 years and older who completed a nationwide survey. Results: Volunteers reported greater positive mental health than non-volunteers. Among the gay men, volunteers additionally reported higher self-rated health and social support and lower psychological distress. Both the lesbian women and gay men who volunteered for lesbian, gay, bisexual, transgender or intersex (LGBTI) organisations also reported greater LGBTI community connectedness than volunteers for non-LGBTI organisations. Discussion: These findings provide further insight into potential factors associated with the well-being of older lesbian and gay adults.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-28T04:39:02Z
      DOI: 10.1177/0898264320952910
       
  • Are We Living Longer and Healthier'
    • Authors: Yan Zheng, Karen Siu Lan Cheung, Paul S. F. Yip
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: To examine whether we live healthier as we live longer in Hong Kong, which has one of the highest life expectancies in the world. Methods: Sullivan’s method was used to evaluate the chronic disease–free life expectancy (CDFLE), life expectancy in good self-perceived health (GPHLE), and impairment-free life expectancy (IFLE) among population aged 50 years and older in Hong Kong in 2007–2016. Results: In spite of the marked improvement in life expectancy in Hong Kong, the increase in GPHLE was much smaller, while CDFLE and IFLE even declined for both genders. The situation was more severe among older population. Discussion: People in Hong Kong live longer but with worsening health. The expansion of chronic diseases, self-perceived poor health, and impairments among older adults calls for more fiscal investments, government attention, and public health policies.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-22T02:32:40Z
      DOI: 10.1177/0898264320950067
       
  • Racial Differences in Respite Use among Black and White Caregivers for
           People Living with Dementia
    • Authors: Lauren J. Parker, Chanee D. Fabius
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: To examine racial differences in respite utilization among a nationally representative sample of caregivers for persons living with dementia (PLwD). A secondary aim identified factors associated with respite utilization. Methods: Using data from the 2015 National Health and Aging Trends Study and National Study of Caregiving, we conducted binary logistic regression to examine racial difference in respite use among Black and white caregivers (n = 750). Results: 22% of the sample used respite for PLwD. Black dementia caregivers were 69% less likely (odds ratio: .31, p = .001) to use respite compared to white caregivers. Other factors associated with utilization included education, receiving help with caregiving, and providing care for more self-care/mobility tasks or to a Medicaid-enrollee. Discussion: Findings suggest that Black dementia caregivers may be at risk for less frequent use of respite and highlight the need to identify factors that promote respite use.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-21T08:16:40Z
      DOI: 10.1177/0898264320951379
       
  • For Better or for Worse: Health and Marital Quality during Midlife
    • Authors: Eunjin L. Tracy, Rebecca L. Utz
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: To examine how changes in health are associated with marital quality over a 20-year period of midlife. Background: The health benefit associated with marriage (compared to non-marriage) is well established. Less work has explored how health and changes in a couple’s health are associated with the marital relationship. Method: We used a sample of continuously married individuals who participated in three waves of the Midlife in the United States study (n = 1768). Multilevel modeling separated within-person changes and between-person differences in the effect of health on marital quality during midlife and older ages. Results: Marital support was lower and marital strain was higher for those with worse health relative to peers. Marital quality decreased when health decreased. Effects were particularly strong when spouses’ health statuses became more discrepant. Conclusion: Health—of both self and partner—plays an important role in determining the marital quality of married persons during the midlife years.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-12T05:43:11Z
      DOI: 10.1177/0898264320948305
       
  • Gender as a Moderator of the Effect of Education and Acculturation on
           Cognitive Function: A Study of Older Korean Immigrants
    • Authors: Eun Young Choi, Yuri Jang, David A. Chiriboga
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: This study examined gender variations in the effect of education and acculturation on cognitive function in a group of older immigrants. Methods: Data were from the Study of Older Korean Americans, a multistate survey of Korean Americans aged 60 years and older (N = 2061). Multivariate linear regression models of cognitive function, measured with the Mini-Mental State Examination, were tested to examine the independent and interactive effects of education, acculturation, and gender. We hypothesized that gender would be a moderator in the relationships of education and acculturation with cognitive function. Results: Supporting the hypothesis, the positive effect of both education and acculturation was greater among women than men. Furthermore, the positive association of education with cognitive function was pronounced among women with low acculturation. Discussion: Our findings suggest that gender plays a critical role in determining the cognitive health benefit arising from education and acculturation singularly and in concert.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-12T05:18:55Z
      DOI: 10.1177/0898264320950554
       
  • Bathroom Modifications, Clutter, and Tripping Hazards: Prevalence and
           Changes after Incident Falls in Community-Dwelling Older Adults
    • Authors: Nancy M. Gell, Harrison Brown, Lee Karlsson, Denise M. Peters, Tracy M. Mroz
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: To describe the prevalence of bathroom modifications, clutter, and tripping hazards in the homes of US older adults and to examine changes after an incident fall. Methods: We used data from the 2015–2017 National Health and Aging Trends Study (n = 7499). Outcomes were the prevalence of bathroom modifications, clutter, and tripping hazards and changes after incident fall. Results: In 2015, 26.5% of community-dwelling older adults had clutter or tripping hazards in the home, and 69.3% had at least one bathroom modification. Compared to nonfallers, older adults with multiple falls were significantly more likely to modify the bathroom. The magnitude of hazard reduction was similar after multiple falls but was not statistically significant. Discussion: Bathroom modifications are common and increase after multiple falls. A single incident fall does not appear to lead to home environment changes to reduce fall risk. Targeting home hazards may be an opportunity to reduce fall risk.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-10T06:31:53Z
      DOI: 10.1177/0898264320949773
       
  • Hospital Disparities between Native Hawaiian and Other Pacific Islanders
           and Non-Hispanic Whites with Alzheimer’s Disease and Related Dementias
    • Authors: Andrea H. Hermosura, Carolyn J. Noonan, Amber L. Fyfe-Johnson, Todd B. Seto, Joseph K. Kaholokula, Richard F. MacLehose
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: To compare important indicators of quality of care between Native Hawaiians and other Pacific Islanders (NHOPIs) and non-Hispanic Whites (NHWs) with Alzheimer’s disease and related dementias (ADRD). Methods: We used the Health Care Cost and Utilization Project, Hawaii State Inpatient Databases, 2010–2014. They included 10,645 inpatient encounters from 7,145 NHOPI or NHW patients age ≥ 50 years, residing in Hawaii, and with at least one ADRD diagnosis in the discharge record. Outcome variables were inpatient mortality, length of hospital stay, and hospital readmission. Results: NHOPIs with ADRD had, on average, a hospital stay of .94 days less than NHWs with ADRD but were 1.16 times more likely than NHWs to be readmitted. Discussion: These patterns have important clinical care implications for NHOPIs and NHWs with ADRD as they are important indicators of quality of care. Future studies should consider specific contributors to these differences in order to develop appropriate interventions.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-08T11:41:17Z
      DOI: 10.1177/0898264320945177
       
  • Identification of Functional, Social, and Health Needs of Older Residents
           in Nonurban Settings: A Community Risk Assessment
    • Authors: Raven H. Weaver, Mason Burley
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: We examined functional, social, and health needs and service delivery gaps among a geographically expansive and economically diverse population of older adults to identify service priorities. Methods: We conducted analyses based on 1280 respondents aged 60 years and older surveyed for an 8-county needs assessment. Results: We identified three distinct risk profiles using two-step cluster analysis. ANOVA and chi-square analyses revealed significant differences between risk profiles on a range of health and social service needs. Discussion: Identifying high-risk residents can support community providers’ efforts to help older adults age in place. Community-based organizations are well-positioned to respond early to social determinants of health needs. Targeting services and supports that reduce risk, extend independence, and prevent avoidable adverse healthcare situations to improve health and achieve health equity among historically underserved and hard-to-reach populations and prioritizing low-cost community interventions can reduce the need for high-cost interventions (e.g., emergency care and hospitalizations).
      Citation: Journal of Aging and Health
      PubDate: 2020-08-08T03:10:09Z
      DOI: 10.1177/0898264320947309
       
  • Parent–Child Relationships and Aging Parents’ Sleep Quality: A
           Comparison of One-Child and Multiple-Children Families in China
    • Authors: Haowei Wang, Kyungmin Kim, Jeffrey A. Burr, Bei Wu
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: This study examined the associations between parent–child relationships and sleep difficulty among older parents in the context of Chinese multiple-children and one-child families. Methods: Using the 2014 China Longitudinal Aging Social Survey, this study analyzed older parents’ (N = 8,450) reports of sleep quality and relationships with each of children. Results: Results from multivariate logistic regression models showed that living alone, greater variations in children’s financial transfers and emotional closeness, and more instrumental support from children were associated with higher risks of sleep difficulty for Chinese older parents with multiple children. The maximum levels of financial transfers and emotional closeness from all children were related to lower risks of sleep difficulty for parents from multiple-children families, while greater instrumental support from children was associated with higher risks of sleep difficulty for parents from one-child families. Discussion: Findings have implications for support programs for Chinese aging population with sleep problems.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-08T02:43:28Z
      DOI: 10.1177/0898264320947304
       
  • Social Contribution and Psychological Well-Being among Midlife Adults with
           Chronic Pain: A Longitudinal Approach
    • Authors: Nguyen P. Nguyen, Shin Ye Kim, Jacob Daheim, Ashley Neduvelil
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Contributing to the welfare of others has been shown to have positive effects on people’s social and psychological well-being (PWB). The current study examined whether social contribution (SC) could alleviate the negative effects of chronic pain on PWB through perceived social support (PSS) among midlife and older adults. Methods: The study consisted of 520 participants with chronic pain from the two waves of the Midlife in the United States dataset (MIDUS II and III). Results: Results from the longitudinal moderated mediation analysis indicated that SC at Time 2 (T2) significantly buffered the negative effect of pain interference (PI) at Time 1 (T1) on PSS at T2, which indirectly alleviated the negative effect of PI at T1 on PWB at T2. Discussion: The study suggested the protective role of SC and prosocial behaviors in mitigating the detrimental effects of chronic pain on social support and PWB.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-07T04:09:19Z
      DOI: 10.1177/0898264320947293
       
  • Natural History of Social Participation in the Very Old: Findings from the
           Newcastle 85+ Study
    • Authors: Merja Rantakokko, Rachel Duncan, Louise Robinson, Ross Wilkie
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: To describe the natural history of social participation in people aged 85 years and over. Methods: Prospective cohort study; Newcastle 85+ study. Data were collected at baseline (n = 850) and at 18-, 36- and 60-month follow-ups (n = 344). Participation in 19 social activities (e.g. playing bingo, doing volunteer work and watching television) was measured at each time point. Results: The mean number of activities reported at baseline was 8.7 (SD 2.6). The number of activities was higher in those with higher educational attainment and intact walking ability (both p < .001). Social participation decreased significantly over time (p < .001) and at a similar rate in both sexes and for those with/without limited walking ability but at a higher rate in those with higher than lower educational attainment (p = .019). Discussion: Social participation seems to decrease significantly between ages 85 and 90 years; ways of encouraging social participation in this age group are needed.
      Citation: Journal of Aging and Health
      PubDate: 2020-08-04T07:38:46Z
      DOI: 10.1177/0898264320944672
       
  • The Reciprocal Relationship between Instrumental Support from Children and
           Self-Rated Health among Older Adults over Time in Rural China
    • Authors: Weiyu Mao, Merril Silverstein, John J. Prindle, Iris Chi
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: To investigate the dynamic interplay between instrumental support from children and self-rated health (SRH) among older adults over time in rural China. Methods: Data came from a regional representative, longitudinal study The Well-Being of Older People in Anhui Province collected in 2001, 2003, 2006, 2009, and 2012. At baseline, 1636 respondents reported having at least one child. Bivariate latent change score modeling was conducted, and sequential model comparison was used to assess the directionality of the reciprocal association. Results: Older adults who received higher levels of help with household chores from children tended to experience improvement in subsequent SRH, irrespective of gender. There is no evidence to support the influence of SRH on subsequent changes in instrumental support. Discussion: This study sheds light on the sequence of changes between support and health processes using population-based data within a specific sociocultural context.
      Citation: Journal of Aging and Health
      PubDate: 2020-07-29T02:39:26Z
      DOI: 10.1177/0898264320943759
       
  • Loneliness and Health: The Moderating Effect of Cross-Cultural
           Individualism/Collectivism
    • Authors: Johannes Beller, Adina Wagner
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: The adverse health effects of loneliness are well documented, but less is known about cultural moderators of this relationship. Contributing to the literature, we examined whether cross-cultural differences in individualism moderate the effect of loneliness on health. Methods: We used population-based longitudinal data of 14 countries (N = 40,797), as provided by the Survey of Health, Ageing, and Retirement in Europe data. Multilevel regression analyses were employed. Moderating effects were analyzed for multiple health outcomes: activities of daily living, instrumental activities of daily living, grip strength, life satisfaction, depression, memory performance, verbal fluency, and numeracy. Results: Cultural individualism significantly moderated the effect of loneliness on health regarding most health outcomes. In general, the effect of loneliness on health became stronger in less individualistic/more collectivistic countries. Discussion: Cultural individualism proved to be one important moderator of the loneliness–health relationship. As previous studies mostly used samples from highly individualistic countries, the current literature might severely underestimate the global public health burden of loneliness.
      Citation: Journal of Aging and Health
      PubDate: 2020-07-29T01:59:49Z
      DOI: 10.1177/0898264320943336
       
  • Associations between Perceived Outdoor Environment and Walking
           Modifications in Community-Dwelling Older People: A Two-Year Follow-Up
           Study
    • Authors: Heidi Skantz, Taina Rantanen, Timo Rantalainen, Kirsi E. Keskinen, Lotta Palmberg, Erja Portegijs, Johanna Eronen, Merja Rantakokko
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: To examine associations of perceived outdoor environment with the prevalence and development of adaptive (e.g., slower pace) and maladaptive (e.g., avoiding walking) modifications in walking 2 km among older people. Methods: Community-dwelling 75–90 -year-old persons (N = 848) reported environmental outdoor mobility facilitators and barriers at baseline. Modifications in walking 2 km (adaptive, maladaptive, or no) were assessed at baseline and one and two years later. Results: Outdoor mobility facilitators were more often reported by those not using modifications or using adaptive versus maladaptive walking modifications. Differences in health and physical capacity explained most of the associations between outdoor mobility barriers and walking modifications. Perceived outdoor environment did not systematically predict future adaptive or maladaptive walking modifications. Discussion: Facilitators may compensate the declined physical capacity and alleviate the strain of walking longer distances by enabling the use of adaptive walking modifications, while lack of such facilitators fuels avoidance of walking longer distances.
      Citation: Journal of Aging and Health
      PubDate: 2020-07-28T10:05:12Z
      DOI: 10.1177/0898264320944289
       
  • Gait Speed Is Associated with Cognitive Function among Older Adults with
           HIV
    • Authors: Heather M. Derry, Carrie D. Johnston, Chelsie O. Burchett, Eugenia L. Siegler, Marshall J. Glesby
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: To determine links between objectively and subjectively measured physical function and cognitive function among HIV-positive older adults, a growing yet understudied group with elevated risk for multimorbidity. Methods: At a biomedical research visit, 162 participants completed objective tests of gait speed (4-m walk), grip strength (dynamometer), and cognitive function (Montreal Cognitive Assessment, MoCA) and reported their well-being (Medical Outcomes Study-HIV survey). Results: Those with faster gait speed had better overall cognitive function than those with slower gait speed (b = 3.98, SE = 1.30, p = .003) in an adjusted regression model controlling for age, sex, race, height, preferred language, and assistive device use. Grip strength was not significantly associated with overall cognitive function. Self-rated cognitive function was weakly related to MoCA scores (r = .26) and gait speed (r = .14) but was strongly associated with emotional well-being (r = .53). Discussion: These observed, expected connections between physical and cognitive function could inform intervention strategies to mitigate age-related declines for older adults with HIV.
      Citation: Journal of Aging and Health
      PubDate: 2020-07-22T04:13:43Z
      DOI: 10.1177/0898264320943330
       
  • Changes over Time in Racial/Ethnic Differences in Quality of Life for
           Nursing Home Residents: Patterns within and between Facilities
    • Authors: Tetyana T. Shippee, Weiwen Ng, Yinfei Duan, Mark Woodhouse, Odichinma Akosionu, Haitao Chu, Jasjit S. Ahluwalia, Joseph E. Gaugler, Beth A. Virnig, John R. Bowblis
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: To investigate trends in racial/ethnic differences in nursing home (NH) residents’ quality of life (QoL) and assess these patterns within and between facilities. Method: Data include resident-reported QoL surveys (n = 60,093), the Minimum Data Set, and facility-level characteristics (n = 376 facilities) for Minnesota. Hierarchical linear models were estimated to identify differences in QoL by resident race/ethnicity and facility racial/ethnic minority composition for 2011–2015. Results: White residents in low-proportion racial/ethnic minority facilities reported higher QoL than both minority and white residents in high-proportion minority facilities. While the year-to-year differences were not statistically significant, the point estimates for white–minority disparity widened over time. Discussion: Racial/ethnic differences in QoL are persistent and may be widening over time. The QoL disparity reported by minority residents and all residents in high-proportion minority facilities underscores the importance of examining NH structural characteristics and practices to ultimately achieve the goal of optimal, person-centered care in NHs.
      Citation: Journal of Aging and Health
      PubDate: 2020-07-10T03:51:44Z
      DOI: 10.1177/0898264320939006
       
  • Health and Well-Being in the Year before Death: The Association with
           Quality of Life and Care at the End-of-Life
    • Authors: Hyo Jung Lee, Brent J. Small, William E. Haley
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: We examined whether older adults’ health and well-being during their final year of life predicts end-of-life (EOL) quality of life (QOL) and quality of care (QOC). Methods: Using data from deceased participants (n = 1125) in the 2011–2015 National Health and Aging Trends Study, we performed latent class analysis to identify profiles of health and well-being, and we examined the association between these classes and EOL QOL and QOC. Results: Four classes were identified: healthy/happy (20%), frail/happy (37%), cognitively impaired/moderately distressed (27%), and highly impaired/highly distressed (16%). Persons in the highly impaired/highly distressed class showed a poorer QOL at the EOL, whereas those in the healthy/happy class reported a lower level of QOC at the EOL. Discussion: The benefits of maintaining health and well-being often carry forward to EOL. Older adults with high impairment and distress merit greater attention such as assuring care and advance care plans.
      Citation: Journal of Aging and Health
      PubDate: 2020-07-03T02:59:28Z
      DOI: 10.1177/0898264320935297
       
  • Family Ties and Aging in a Multiethnic Cohort
    • Authors: Gelan Ying, Jet M. J. Vonk, Ketlyne Sol, Adam M. Brickman, Jennifer J. Manly, Laura B. Zahodne
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: Lack of social support is linked to lower cognitive function and cognitive decline. We investigated the effects of a specific type of social relationship, family ties, on cognitive trajectories in non-Hispanic whites, non-Hispanic blacks, and Hispanics. Methods: Using multiple-group latent growth curve models, we analyzed associations between the number of children/grandchildren/siblings/other relatives contacted within the past month at baseline and cognitive trajectories in 1420 older adults who were nondemented at baseline. Language, memory, and visuospatial abilities were assessed at baseline and at 18- and 24-month follow-ups for up to six visits. Inferential analyses assessed the differential effects of sex/gender and race/ethnicity for each family tie. Results: Independent of all covariates, contact with more relatives was associated with better initial memory (b = .01) and language functioning (b = .01) across race/ethnicity and sex/gender. Conclusion: The size of peripheral rather than immediate family networks may be more likely to affect cognitive function in older adults.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-30T07:31:02Z
      DOI: 10.1177/0898264320935238
       
  • A Longitudinal Study on Multidimensional Resilience to Physical and
           Psychosocial Stress in Elderly Mexicans
    • Authors: Jan Höltge, Rafael Samper-Ternent, Carmen García-Peña, Luis Miguel Gutiérrez-Robledo
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: To identify trajectories of depression and daily disability in the context of serious falls and widowhood and to predict those trajectories before the events occurred. Methods: Longitudinal data were used from the Mexican Health and Aging Study. Trajectories were estimated using latent class growth analysis. Internal and socio-ecological resources were analyzed as predictors of the trajectories. Results: Unfavorable (worsening of symptoms and chronic high symptoms) and favorable (improvement of symptoms and stable low symptoms (resistance)) trajectories were identified. Favorable trajectories were more likely for daily disability. Persons who showed resistance in depression also tended to show resistance in daily disability. Net worth, cognition, and subjective well-being were early predictors for most trajectories. Discussion: Besides resistance, individuals rather show different co-occurring trajectories in the studied outcomes. While some factors could be identified that lead to favorable trajectories in both stressful contexts, the study also shows the necessity for context-specific research and praxis.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-30T01:31:32Z
      DOI: 10.1177/0898264320932777
       
  • Trends in Pain Prevalence among Adults Aged 50 and Older across Europe,
           2004 to 2015
    • Authors: Zachary Zimmer, Anna Zajacova, Hanna Grol-Prokopczyk
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: We examine recent trends in pain prevalence among adults aged 50+ across Europe. Methods: Data for 15 countries from the Survey of Health, Ageing, and Retirement in Europe are examined for two periods: 2004–2011 and 2013–2015. Trends are shown descriptively, using a multilevel modeling strategy controlling for covariates, and modeled on a country-specific basis. Results: Population-level pain prevalence ranges from about 30% to about 60% depending on the country and year. Pain is more prevalent in women and generally increases with age. There is an increase in prevalence over time, net of age, and other predictors. Prevalence increased with an annual average of 2.2% between 2004 and 2011 and 5.8% between 2013 and 2015, in fully adjusted models. Discussion: Trends in pain prevalence have implications for disability, healthcare utilization, productivity, and population health. These findings are not optimistic but align with other population-wide studies, suggesting a global trend of rising pain prevalence.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-25T12:03:50Z
      DOI: 10.1177/0898264320931665
       
  • Ageing and Alcohol: Drinking Typologies among Older Adults
    • Authors: Ann M. Roche, Nathan J. Harrison, Janine Chapman, Victoria Kostadinov, Richard J. Woodman
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Alcohol consumption and harms among older people are increasing. We examined different demographic characteristics and drinking patterns among an older population. Methods: Secondary analyses of nationally representative Australian data; subjects aged 50+ years (N = 10,856). Two-step cluster analysis was performed to identify demographic groups and alcohol consumption behaviours. Results: Three groups were identified: Group 1 (older, unmarried, and lived alone):>65 years, moderate drinkers, poorest health, psychological distress, social disadvantage, smokers, illicit drug users, and more frequent previous alcohol treatment. Group 3 (older married):>65 years, good health, low psychological distress, less likely to drink at risky levels, and one in five drank daily. Group 2 (younger married): 50–64 years, mostly employed, highest proportion of risky drinkers and of 5+ standard drinks per session, and liberal drinking attitudes with most concern from others about their drinking. Discussion: These demographic typologies can inform targeted prevention efforts for an estimated 1.3 million adults older than 50 years drinking at risky levels.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-25T11:51:58Z
      DOI: 10.1177/0898264320936953
       
  • Trends in the Mortality Risk of Living Alone during Old Age in Sweden,
           1992–2011
    • Authors: Benjamin A. Shaw, Lena Dahlberg, Charlotta Nilsen, Neda Agahi
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: This study investigates the association between living alone and mortality over a recent 19-year period (1992–2011). Method: Data from a repeated cross-sectional, nationally representative (Sweden) study of adults ages 77 and older are analyzed in relation to 3-year mortality. Results: Findings suggest that the mortality risk associated with living alone during old age increased between 1992 and 2011 (p = .076). A small increase in the mean age of those living alone is partly responsible for the strengthening over time of this association. Throughout this time period, older adults living alone consistently reported poorer mobility and psychological health, less financial security, fewer social contacts, and more loneliness than older adults living with others. Discussion: Older adults living alone are more vulnerable than those living with others, and their mortality risk has increased. They may have unique service needs that should be considered in policies aiming to support aging in place.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-23T08:44:01Z
      DOI: 10.1177/0898264320930452
       
  • Neighborhood Disorder, Social Ties, and Preventive Healthcare Utilization
           among Urban-Dwelling Older Adults
    • Authors: Kenzie Latham-Mintus, Ashley Vowels, Swapnali Chavan
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: This research examines whether perceived neighborhood disorder influences the use of preventive healthcare services (i.e. influenza vaccine, pneumonia vaccine, cholesterol screening, colonoscopy, and dental care) by older adults and whether social ties buffer the potential adverse effects of perceived neighborhood disorder. Methods: Using data from the 2012 wave of the Health and Retirement Study, binary logistic regression was used to generate odds ratio estimates of preventive healthcare use in the past 2 years. Results: We find that greater levels of neighborhood disorder were associated with fewer dental care visits net of social and health factors. Regular participation in four or more social activities was associated with decreased odds of restricted use and increased odds of receiving a pneumonia vaccine and colonoscopy. Discussion: This research provides evidence that perceived neighborhood disorder may act as a barrier for specific preventive healthcare services and highlights the need for targeted intervention.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-23T08:17:39Z
      DOI: 10.1177/0898264320929544
       
  • Estimated Prevalence of Elder Orphans Using National Health and Aging
           Trends Study
    • Authors: Regina Roofeh, Dylan M. Smith, Sean A. P. Clouston
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: By 2050, individuals aged 65 years and older will comprise over 20% of the American population. A portion is at risk for becoming elder orphans: older adults living in the community who lack caregivers or surrogates. Methods: Using the first wave of the National Health and Aging Trends Survey, we estimated the prevalence of older adults who reside in the community, who are socially or physically isolated, and who lack caregivers. Individuals who are “at risk” meet all of these criteria, with the exception that they live with and receive caregiving from their spouse. Results: We estimated the elder orphan prevalence for this population to be 2.62% (2.24–3.00), with an additional 21.29% determined to be at risk. Discussion: As the population of the United States ages, an understanding of the prevalence and demographics of elder orphans will be useful to guide policies and services to assist this population.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-19T04:05:29Z
      DOI: 10.1177/0898264320932382
       
  • Sex Differences in Perceptions toward Falls among Older Adults Living in
           the Community in Singapore
    • Authors: Peter Kay Chai Tay, Angelique Chan, Pey June Tan, Chek Hooi Wong
      Abstract: Journal of Aging and Health, Ahead of Print.
      Fall prevention strategies informed by understanding sex differences in the perception of falls may be fruitful. Objectives: In the current research, we examined the consequence of having a recent fall episode on sex differences in fall perception based on the postulation that having a recent fall can lead to perceived susceptibility and attenuate male stereotypic perceptions toward falls. Methods and Results: Examining 549 older adults (337 women) living in the community, men reported higher falls efficacy, less negative perception related to the effect of a fall, and lower tendency to restrict activities to prevent falls. These sex differences were observed only among those who did not have a recent fall episode, and no significant sex differences were observed among those who fell. Discussion: The findings suggest that a recent fall episode may underlie sex differences in falls perception. The implications of sex differences in perceptions in falls for healthcare delivery and outcomes are discussed.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-16T04:33:13Z
      DOI: 10.1177/0898264320925972
       
  • On the Relationship between Hearing and Cognitive Limitations: Evidence
           from 51 Countries
    • Authors: Stephen J. Cutler, Corina Ilinca
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: This study extends prior findings by looking at the relationship between hearing acuity and cognitive difficulties in 51 nations. Methods: We draw on data from the Integrated Public Use Microdata International Series available at the Institute for Social Research and Data Innovation at the University of Minnesota. For all countries where data are available, bivariate relationships between hearing and cognitive problems are examined using correlation coefficients (Rs) and multivariate relationships using linear regression techniques (betas), controlling for age, gender, marital status, and education. Results: For all 51 countries, the R between hearing problems and cognitive problems is 0.334 (p < .001); the multivariate beta is 0.316 (p < .001). Regional results are also statistically significant. Discussion: The relationship between hearing and memory appears to be universal, and practitioners must carefully assess and treat their client’s hearing disabilities before they can expect them to remember any information.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-15T04:34:09Z
      DOI: 10.1177/0898264320923909
       
  • Racial/Ethnic Disparities in Self-Rated Health and Sense of Control for
           
    • Authors: Tetyana P. Shippee, Yinfei Duan, Mary Olsen Baker, Julie Angert
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: This study examines racial/ethnic differences in self-rated health (SRH) and sense of control among older adults receiving publicly funded home- and community-based services (HCBS) and tests the mediating role of functional, emotional, and financial stressors. Methods: Data are from 2015 National Core Indicators—Aging and Disability Survey collected from face-to-face interviews with 1936 older adults aged 65 years or older receiving HCBS in Minnesota. Path analysis based on logistic regression was used. Results: Racial/ethnic minority HCBS users had lower SRH and sense of control than white participants, with Asian participants reporting the lowest scores. Whereas functional impairment was a common explanatory factor for the racial/ethnic differences, negative mood and financial strain were mediators for Asian and Hispanic/Latino participants, respectively. Discussion: Racial/ethnic disparities in well-being exist among older HCBS users, with different mediators at play. Customized services are needed to meet diverse needs of older adults of different racial/ethnic groups.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-15T02:50:40Z
      DOI: 10.1177/0898264320929560
       
  • Association between Role Overload and Sleep Disturbance among Dementia
           Caregivers: The Impact of Social Support and Social Engagement
    • Authors: Jiaming Liang, María P. Aranda, Donald A. Lloyd
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: To explore the association between role overload (RO) and sleep maintenance insomnia (SMI), and the moderation effects of social support and social engagement (SE). Methods: We report a cross-sectional study using data drawn from the 2015 National Health and Aging Trends Study and National Study of Caregiving. We used multiple regression and controlled for demographics and potential confounders. Results: Nearly 45% of caregivers reported suffering from SMI during “some” and “more” nights within the past month with one half reporting “almost” or “every” night. RO was found positively associated with the risk of SMI. Instrumental support moderated the effect of RO on SMI overall, although moderation was limited to a subsample of adult children caregivers. Discussion: The sleep quality of dementia caregivers may be affected by RO, particularly for adult children caregivers. Increasing instrumental support may be beneficial to caregiver's sleep quality.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-11T09:35:07Z
      DOI: 10.1177/0898264320926062
       
  • Effects of an Individualized Active Aging Counseling Intervention on
           Mobility and Physical Activity: Secondary Analyses of a Randomized
           Controlled Trial
    • Authors: Sini Siltanen, Erja Portegijs, Katja Pynnönen, Mary Hassandra, Timo Rantalainen, Laura Karavirta, Milla J. Saajanaho, Taina Rantanen
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: The aim of this study was to report preplanned secondary analyses of the effects of a 12-month individualized active aging counseling intervention on six mobility and physical activity outcomes. Methods: A two-arm, single-blinded randomized controlled trial was conducted among 75- and 80-year-old community-dwelling people. The intervention group (IG, n = 101) received counseling aimed at increasing self-selected, primarily out-of-home activity. The control group (CG, n = 103) received general health information. Data were analyzed with generalized estimating equations. Results: Physical performance improved in the IG more than that in the CG (group by time p = .022), self-reported physical activity increased in both groups (time p = .012), and autonomy in outdoor mobility declined in the IG and was enhanced in the CG (group by time p = .011). No change was observed for life-space mobility, proportion of persons perceiving difficulty walking 2 km, or monitored physical activity. Discussion: Individualized counseling aiming at increasing self-selected out-of-home activity had nonsystematic effects on mobility and positively affected physical performance only.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-10T04:19:42Z
      DOI: 10.1177/0898264320924258
       
  • Injury Diagnosis and Affected Body Part for Nonfatal Fall-Related Injuries
           in Community-Dwelling Older Adults Treated in Emergency Departments
    • Authors: Yara K. Haddad, Iju Shakya, Briana L. Moreland, Ramakrishna Kakara, Gwen Bergen
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: To estimate frequency and type of older adult fall-related injuries treated in emergency departments (EDs). Methods: We used the 2015 National Electronic Injury Surveillance System: All Injury Program. Patient data were abstracted from the narratives describing the circumstance of injury. Data for community-dwelling older adults (n = 34,336) were analyzed to explore differences in injury diagnosis by demographic characteristics, location of fall, and disposition. Results: 70% of head-related injuries were internal injuries, suggestive of a traumatic brain injury. Most hip injuries were fractures or dislocations (73.3%). Women had higher percentages of fractures/dislocations but lower percentages of internal injuries than men. About a third of fall-related ED visits required hospitalization or transfer. Discussion: Falls in older adults result in array of injuries and pose a burden on the healthcare system. Understanding how fall injuries vary by different characteristics can help inform targeted prevention strategies.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-09T02:38:11Z
      DOI: 10.1177/0898264320932045
       
  • Treatment Needs and Service Utilization in Older U.S. Adults Evidencing
           High-Risk Substance Use
    • Authors: Kathleen A. Fairman, Nicole K. Early
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Because substance misuse by older adults poses clinical risks and has not been recently assessed, we examined substance use patterns, treatment needs, and service utilization in those evidencing high-risk use. Methods: We identified National Survey on Drug Use and Health respondents (2015–2018) aged ≥50 years reporting multiple-occasion binge drinking, illicit drug use, prescription drug misuse, or substance dependence. Past-year psychological symptoms were assessed using validated scales. Results: The sample, representing 10.2% of community-dwelling older U.S. adults, evidenced clinically important risks: 65.2% past-month binge drinking, 27.3% mental illness, 14.3% psychological distress, 10.6% combined alcohol/drug use, and 6.5% suicidality. Treatment receipt was uncommon (27.7%), positively associated with distress, and negatively associated with binge drinking. Of those not receiving treatment, 3.8% perceived treatment need. Discussion: Findings highlight the value of substance misuse screening and brief interventions, suggesting potential treatment referral opportunities for those evidencing psychological distress.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-09T02:31:30Z
      DOI: 10.1177/0898264320929537
       
  • Frailty and Social Isolation: Comparing the Relationship between Frailty
           and Unidimensional and Multifactorial Models of Social Isolation
    • Authors: John Maltby, Sarah A. Hunt, Asako Ohinata, Emma Palmer, Simon Conroy
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: The aim of the study was to compare uni- and multidimensional models of social isolation to improve the specificity of determining associations between social isolation and frailty. Methods: The study included participants aged ≥60 years from the English Longitudinal Study of Ageing assessed for social isolation and frailty (frailty index and Fried phenotype) over a 4-year period. Factor analysis assessed whether social isolation was multidimensional. Multiple regression analysis was used to assess specificity in associations between social isolation and frailty over time. Results: Social isolation comprises social isolation from nuclear family, other immediate family, and wider social networks. Over time, social isolation from a wider social network predicted higher frailty index levels, and higher frailty index and Fried phenotype levels predicted greater social isolation from a wider social network. Discussion: Social isolation is multidimensional. The reciprocal relationship between social isolation from wider social networks and accumulating frailty deficits, and frailty as a clinical syndrome influencing social isolation from social networks is discussed.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-09T01:24:48Z
      DOI: 10.1177/0898264320923245
       
  • Impact of Self-Care and Mobility on One or More Post-Acute Care
           Transitions
    • Authors: Chih-Ying Li, Amol Karmarkar, Yong-Fang Kuo, Allen Haas, Kenneth J. Ottenbacher
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objective: To investigate the association between functional status and post-acute care (PAC) transition(s). Methods: Secondary analysis of 2013–2014 Medicare data for individuals aged ≥66 years with stroke, lower extremity joint replacements, and hip/femur fracture discharged to one of three PAC settings (inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies). Functional scores were co-calibrated into a 0–100 scale across settings. Multilevel logistic regression was used to test the partition of variance (%) and the probability of PAC transition attributed to the functional score in the initial PAC setting. Results: Patients discharged to inpatient rehabilitation facilities with higher function were less likely to use additional PAC. Function level in an inpatient rehabilitation facility explained more of the variance in PAC transitions than function level while in a skilled nursing facility. Discussion: The function level affected PAC transitions more for those discharged to an inpatient rehabilitation facility than to a skilled nursing facility.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-05T02:42:30Z
      DOI: 10.1177/0898264320925259
       
  • HIV Status and Antiretroviral Therapy as Predictors of Disability among
           Older South Africans: Overall Association and Moderation by Body Mass
           Index
    • Authors: Stephen B. Asiimwe, Livia Montana, Kathleen Kahn, Stephen M. Tollman, Chodziwadziwa W. Kabudula, Xavier F. Gómez-Olivé, Lisa F. Berkman, Maria M. Glymour, Till Bärnighausen
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Among older people living with HIV (PLWH) and comparable individuals without HIV, we evaluated whether associations of HIV and antiretroviral therapy (ART) with disability depend on body mass index (BMI). Methods: We analyzed 4552 participants in the “Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa.” (HAALSI) We compared prevalence of disability (≥1 impairment in basic activities of daily living) by HIV status, ART use, and BMI category, adjusting for age, sex, education, father’s occupation, country of origin, lifetime alcohol use, and primary health-care utilization. Results: Among PLWH, those underweight had 9.8% points (95% confidence interval (CI): 1.2 to 18.4) higher prevalence of disability than those with normal BMI. Among ART users, those underweight had 11.9% points (95% CI: 2.2 to 21.6) higher prevalence of disability than those with normal BMI. Conclusions: We found no evidence that weight improvement associated with ART use is likely to increase disability.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-05T02:30:43Z
      DOI: 10.1177/0898264320925323
       
  • Effects of Patient-Centered Communication on Influenza Vaccination and
           Self-Reported General Health Status among Asian Americans: A Comparison
           Model for Young/Middle-Aged and Older Adults
    • Authors: En-Jung Shon, Anjanette Wells
      Abstract: Journal of Aging and Health, Ahead of Print.
      Objectives: Asian American subgroups’ influenza vaccination is still below the US standards. This study examined the effects of patient-centered communication (PCC) on influenza vaccination and the general health (GH) of Chinese, Vietnamese, and Korean Americans. A group difference between younger and older adults was investigated. Methods: The 2014–2016 California Health Interview Surveys were merged (Chinese [N = 1,680], Korean [N = 514], and Vietnamese [N = 644]; age 18+; younger = 1,629 and older = 1,209). Two path models (PCC [measured by physicians’ careful listening], vaccination, and GH; PCC [measured by physicians’ clear explanation], vaccination, and GH) were evaluated. Regression maximum likelihood was applied for missing values. Results: Both the first and second models showed good model fit scores (comparative fit index [CFI] = .95, root mean square error of approximation [RMSEA] = .04, and standardized root mean residual [SRMR] = .03; CFI = .93, RMSEA = .04, and SRMR = .03). There were direct effects of PCC on vaccination among younger adults. PCC directly influenced GH for both age-groups. Discussion: A PCC manual for physicians in local or community health centers could enhance both younger and older adults’ influenza vaccination.
      Citation: Journal of Aging and Health
      PubDate: 2020-06-04T03:08:44Z
      DOI: 10.1177/0898264320930888
       
 
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