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Journal of Aging and Health

Esme Fuller-Thomson, Lisa A Jensen
OBJECTIVES: The objective of this study is to estimate the prevalence of, and factors associated with, complete mental health (CMH) among stroke survivors aged 50+ years. METHOD: Bivariate and logistic regression analyses of nationally representative data from the 2012 Canadian Community Health Survey-Mental Health of 11,157 older adults aged 50+ years (300 stroke survivors). CMH included all of these elements: (a) absence of any past-year mental illness (measured by the World Health Organization version of the Composite International Diagnostic Interview [WHO-CIDI] scales), (b) almost daily happiness or satisfaction, and (c) psychological and social well-being...
January 9, 2019: Journal of Aging and Health
Pamela Jo Johnson, Judy Jou, Dawn M Upchurch
OBJECTIVE: The objective of this study is to examine unmet health care needs among midlife women (ages 50-64 years) in the United States by level of psychological distress. METHOD: Using data for a nationally representative sample of midlife women ( N = 8,838) from the 2015-2016 National Health Interview Survey, we estimated odds ratios of reasons for delayed care and types of care foregone by level of psychological distress-none, moderate (moderate psychological distress [MPD], and severe (severe psychological distress [SPD])...
January 7, 2019: Journal of Aging and Health
Samuel D Towne, Matthew Lee Smith, Minjie Xu, Sungmin Lee, Sushma Sharma, Don Smith, Yajuan Li, Yasmin Fucci, Marcia G Ory
OBJECTIVE: Given that one in four older adults suffer potentially preventable falls annually, we aimed to identify areas with (a) delivery gaps of evidence-based programs (EBPs) targeting fall prevention among older adults, namely A Matter of Balance (AMOB), and (b) high rates of fall-related hospitalizations-hotspots. METHOD: Analyses included multiple geospatially linked datasets. RESULTS: EBPs were delivered ≥1 time in 84 counties in 2012 and 90 counties in 2014...
January 7, 2019: Journal of Aging and Health
Guy Harling, Collin F Payne, Justine I Davies, F Xavier Gomez-Olive, Kathleen Kahn, Lenore Manderson, Farrah J Mateen, Stephen M Tollman, Miles D Witham
OBJECTIVES: The objective of this study is to analyze the degree to which care needs are met in an aging rural African population. METHOD: Using data from the Health and Aging in Africa: Longitudinal Study of an INDEPTH Community (HAALSI) baseline survey, which interviewed 5,059 adults aged older than 40 years in rural South Africa, we assessed the levels of limitations in activities of daily living (ADLs) and in unmet care for these ADLs, and evaluated their association with sociodemographic and health characteristics...
January 2, 2019: Journal of Aging and Health
Sara Zella, Sarah Harper
OBJECTIVES: The article addresses whether specific combinations of employment and domestic duties over the life course are associated with variations in women's health at the time of retirement. It also explores the differences of this relationship in four European welfare states. METHOD: Women from three waves of SHARE (Survey of Health, Aging and Retirement in Europe) are grouped using sequence analysis. Using logistic regression models, group differences in later life depression and self-reported health are tested...
December 31, 2018: Journal of Aging and Health
Kirsi E Keskinen, Merja Rantakokko, Kimmo Suomi, Taina Rantanen, Erja Portegijs
OBJECTIVE: The objective of this study is to study the associations of objectively defined hilliness with the prevalence and incidence of walking difficulties among community-dwelling older adults, and to explore whether behavioral, health, or socioeconomic factors would fully or partially explain these associations. METHOD: Baseline interviews ( n = 848, 75-90 years) on difficulties in walking 500 m, frequency of moving through the neighborhood, and perceived hilliness as a barrier to outdoor mobility were conducted...
December 26, 2018: Journal of Aging and Health
Jaqueline C Avila, Sapna Kaul, Rebeca Wong
OBJECTIVES: Examine differences in health care utilization and out-of-pocket (OOP) expenditures among older Mexican adults in 2001 and 2012, and identify individual characteristics associated with utilization and expenditures in both years. METHOD: Data from the 2001 and 2012 cross-sections of the Mexican Health and Aging Study were utilized. Outcomes included nights spent in the hospital, medical/outpatient procedures, and OOP expenditures with these services. Covariates included demographics and comorbidities...
December 14, 2018: Journal of Aging and Health
Ann E M Liljas, Kate Walters, Cesar de Oliveira, S Goya Wannamethee, Sheena E Ramsay, Livia A Carvalho
OBJECTIVE: To investigate the influence of single and dual sensory impairments prospectively on cognition in adults aged ⩾50 years. METHOD: Community-dwelling English adults ( n = 4,621) were followed up from 2008 to 2014. Self-reported hearing and vision were collected in 2008. Change in cognitive performance on working memory and executive function between 2008 and 2014 was evaluated. RESULTS: Compared with good hearing and good vision, respectively, poor hearing and poor vision were associated with worse cognitive function (hearing: unstandardized coefficient B = 0...
December 6, 2018: Journal of Aging and Health
Subashan Perera, Neelesh K Nadkarni, David Wert, Jessie VanSwearingen, Jennifer S Brach
OBJECTIVES: With the emerging trends, more cluster randomized trials will be conducted in older adults, where facilities are randomized rather than individuals. Similarity of individuals from a facility (intraclass correlation coefficient/ICC) plays a critical role, but not readily available. We document ICCs for measures commonly used in community-dwelling older adults and discuss implications. METHOD: Secondary analysis of a range of baseline measures from the On the Move cluster randomized trial, whose ICCs were computed using a linear mixed model...
December 6, 2018: Journal of Aging and Health
Alessandra Buja, Michele Rivera, Elisa De Battisti, Maria Chiara Corti, Francesco Avossa, Elena Schievano, Stefano Rigon, Vincenzo Baldo, Giovanna Boccuzzo, Mark H Ebell
OBJECTIVE: The aim was to clarify which pairs or clusters of diseases predict the hospital-related events and death in a population of patients with complex health care needs (PCHCN). METHOD: Subjects classified in 2012 as PCHCN in a local health unit by ACG® (Adjusted Clinical Groups) System were linked with hospital discharge records in 2013 to identify those who experienced any of a series of hospital admission events and death. Number of comorbidities, comorbidities dyads, and latent classes were used as exposure variable...
December 6, 2018: Journal of Aging and Health
Milanda L Matthews, Kerryn E Pike, Bradley J Wright, Glynda J Kinsella
OBJECTIVE: The present study aimed to examine predictors of improvement in subjective everyday memory ability 5 years following participation in a group cognitive-behavioral memory intervention for community-living older adults, the La Trobe and Caulfield Hospital (LaTCH) Memory Group program. METHOD: Participants were 61 healthy older adults and data were analyzed using one-way repeated measures analysis of variance (ANOVA), hierarchical regression, and moderator analyses...
December 3, 2018: Journal of Aging and Health
Razak M Gyasi, David R Phillips, Padmore Adusei Amoah
OBJECTIVES: This study examines multidimensional social supports as predictors of health services utilization among community-dwelling older Ghanaians. METHOD: Using data from a 2016/2017 Aging, Health, Psychological Wellbeing and Health-Seeking Behavior Study ( N = 1,200), Poisson regression models estimated the associations of aspects of informal social support and health facility utilization among older people. RESULTS: Findings suggest that regular contacts with family/close friends (odds ratio [OR] = 1...
December 3, 2018: Journal of Aging and Health
Rebecca Bendayan, Amanda Kelly, Scott M Hofer, Andrea M Piccinin, Graciela Muniz-Terrera
OBJECTIVES: We explore the association between different patterns of change in depressive symptoms and memory trajectories in US and European Mediterranean (Spain, France, Italy, and Israel) and non-Mediterranean (Sweden, Denmark, Netherlands, Germany, Belgium, Switzerland, and Austria) older adults. METHODS: Samples consisted of 3,466 participants from the Health Retirement Study (HRS) and 3,940 participants from the Survey of Health, Aging and Retirement (SHARE)...
November 23, 2018: Journal of Aging and Health
Tirth R Bhatta, Jeffrey M Albert, Jessica Kelley, Eva Kahana
OBJECTIVE: We adopt a novel approach to mediation analysis to account for interrelated life course social processes that constitute later life health disparities. We examine gender-specific direct effect of parental education on functional limitations in later life. METHOD: Based on the first wave (2007-2010; n = 7,150) of the Study on Global Ageing and Adult Health (SAGE), we estimate both (natural) direct and indirect effects of parental education on functional limitations in later life...
November 23, 2018: Journal of Aging and Health
Deborah Finkel, Marie Ernsth Bravell
OBJECTIVE: Investigations of cohort differences in relationships between education and health tend to focus on mortality or self-reported health. We report one of the first analyses of cohort differences in relationships between education and objective measures of functional abilities across the lifespan. METHOD: Up to 26 years of follow-up data were available from 859 adults from the Swedish Adoption/Twin Study of Aging. The sample was divided into two cohorts by birth year: 1900-1924 and 1925-1948...
November 23, 2018: Journal of Aging and Health
Lotta Palmberg, Anne Viljanen, Taina Rantanen, Jaakko Kaprio, Merja Rantakokko
OBJECTIVE: We examined among older women the association of sleep quality, daytime tiredness, and sleep duration with unmet physical activity need, that is, wishing to be more physically active but perceiving no opportunity for it. METHOD: Cross-sectional logistic regression analyses among women aged 74 to 86 years (Finnish Twin Study on Aging, third wave, n = 302). RESULTS: Thirty-one participants reported unmet physical activity need. Short sleepers had fivefold and long sleepers threefold odds for unmet physical activity need compared with normative sleepers, while for daytime tiredness the odds were double...
November 23, 2018: Journal of Aging and Health
Terry Allen, Sonia Salari, Glen Buckner
OBJECTIVE: A total of 34 years of FBI Supplementary Homicide Reports were examined using statistical graphics to illustrate patterns across ages, by sex, and victim/offender relationships (intimate partner [IP], other family, acquaintance, or stranger). METHOD: An innovative fourfold display and victim/sex-specific scatterplots with overlaid deviation ellipses determine the age/sex patterns for each relationship. RESULTS: We illustrate numerous acquaintance killings among young men and improve our understanding of predictors by sex, relationship, and circumstances in mid/later life...
November 23, 2018: Journal of Aging and Health
Harold H Lee, Shira Dunsiger, Lauren Connell Bohlen, Holly K Boyle, Jessica A Emerson, David M Williams
OBJECTIVE: The present study tested the hypothesis that the effect of self-paced exercise on adherence to exercise programs is more pronounced with increasing age. METHOD: Fifty-nine low-active overweight adults (18-65 years) were encouraged to walk 30 to 60 min/day and randomized to either self-paced ( n = 30) or prescribed moderate-intensity ( n = 29) conditions. RESULTS: The effect of study condition was moderated by age (main effect: b = 6...
November 23, 2018: Journal of Aging and Health
Rachel Donnelly, Debra Umberson, Tetyana Pudrovska
OBJECTIVE: To examine whether exposure to family member deaths throughout the life course is associated with subjective life expectancy-a person's assessment of their own mortality risk-at age 65, with attention to differences by race. METHOD: We analyzed 11 waves of data from a study of men and women above age 50 (Health and Retirement Study; n = 13,973). RESULTS: Experiencing the deaths of multiple family members before the respondent is 50 years old is negatively associated with subjective life expectancy at age 65...
November 18, 2018: Journal of Aging and Health
Kiyoshi Yamaki, Coady Wing, Dale Mitchell, Randall Owen, Tamar Heller
OBJECTIVE: We evaluated the impact of Medicaid managed care (MMC) on health service use and state costs among adults with early-acquired physical disabilities. METHOD: Using claims data, we tracked utilization of the emergency department (ED), inpatient admissions, outpatient physician visits, and state expenditures on enrollees who transitioned to MMC ( n = 881). The inverse propensity score weight and a difference-in-differences regression model were used to estimate the impact of MMC using their counterparts who remained in fee-for-service ( n = 1,552) as the comparison group...
November 15, 2018: Journal of Aging and Health
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