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Journal of Aging and Health

Jovita Rodrigues, Ana W Capuano, Lisa L Barnes, David A Bennett, Raj C Shah
OBJECTIVE: This study examines the effect of antidepressant medication use and social engagement on the level of depressive symptoms at the time of initially meeting criteria for dementia. METHOD: Measures of social engagement, medication use, and depressive symptoms from 402 participants with incident dementia were utilized for the study. Proportional odds models adjusted for demographics were constructed with depressive symptoms as the outcome and social network size, perceived social isolation, and antidepressant medication use as independent variables...
May 1, 2018: Journal of Aging and Health
Maricruz Rivera-Hernandez, Amit Kumar, Gary Epstein-Lubow, Kali S Thomas
OBJECTIVE: This article examines differences in nursing home use and quality among Medicare beneficiaries, in both Medicare Advantage and fee-for-service, newly admitted to nursing homes with Alzheimer's disease and related dementias (ADRD). METHOD: Retrospective, national, population-based study of Medicare residents newly admitted to nursing homes with ADRD by race and ethnic group. Our analytic sample included 1,302,099 nursing home residents-268,181 with a diagnosis of ADRD-in 13,532 nursing homes from 2014...
April 1, 2018: Journal of Aging and Health
Alexandra S Creighton, Tanya E Davison, David W Kissane
OBJECTIVE: This study aimed to identify the biopsychosocial factors associated with anxiety among a residential aged care sample. METHOD: A total of 178 residents ( M age = 85.4 years, SD = 7.4 years) with mild cognitive impairment or normal cognition participated. Participants completed the Geriatric Anxiety Inventory (GAI) and a set of measures assessing cognition, depression, self-perceived health, mastery, attachment, perceived social support, social engagement, functional status, the experience of a fall, and other negative life events...
April 1, 2018: Journal of Aging and Health
Yura Lee, Iris Chi, Lawrence A Palinkas
OBJECTIVE: Retirement is a salient later-life transition that may influence cognition. Leisure activities can help individuals better adjust to life after significant life transitions. This study examined the role of leisure activity engagement in the relationship between retirement and cognition. METHOD: A path analysis ( N = 2,827) was conducted using three waves of the Health and Retirement Study (2004, 2006, 2008) and its supplementary Consumption and Activities Mail Survey, to test the association between retirement (categorized as remained working, transitioned to retirement, remained retired) and cognition (memory, working memory, attention, and processing speed) via leisure (mental, physical, social, household) activity engagement...
April 1, 2018: Journal of Aging and Health
Grace Angélica de Oliveira Gomes, Bruna Moretti Luchesi, Aline Cristina Martins Gratão, Fabiana de Souza Orlandi, Karina Gramani Say, Keika Inouye, Tiago da Silva Alexandre, Allan Gustavo Brigola, Sofia Cristina Iost Pavarini
OBJECTIVE: The aim of this study is to analyze the prevalence of physical inactivity (PI) and associated factors in older caregivers of older adults. METHOD: A cross-sectional study was conducted including 312 older caregivers. Sociodemographic, clinical, and care-related characteristics were considered the independent variables for the determination of associated factors with PI in the logistic regression model. RESULTS: The prevalence of PI was 75...
April 1, 2018: Journal of Aging and Health
Ron Acierno, Jordan Watkins, Melba A Hernandez-Tejada, Wendy Muzzy, Gabrielle Frook, Mara Steedley, Georgia Anetzberger
OBJECTIVE: Whereas prevalence of elder financial mistreatment has received increased attention over the past decade, health and mental health correlates are rarely studied. Thus, the potential relevance of financial abuse to mental health and perceived health is relatively unknown, and the objective of this article is to illustrate this relationship. METHOD: The second wave of the National Elder Mistreatment Study used random digit dialing telephone survey methodology to assess both recent financial mistreatment and its potential mental health correlates (i...
April 1, 2018: Journal of Aging and Health
Emilie Wawrziczny, Clotilde Larochette, David Papo, Emilie Constant, Francine Ducharme, Marie-Jeanne Kergoat, Florence Pasquier, Pascal Antoine
OBJECTIVE: The aim of this study is to test the effects of a customized intervention on distress among caregivers of persons with dementia (PWD) using a quasi-experimental design. METHOD: Fifty-one spouse caregivers in the experimental group and 51 in the control group participated in the study. The effects of the intervention were examined by comparing caregivers' responses with questionnaires at pre-intervention baseline (T0) and immediately after intervention (T1)...
April 1, 2018: Journal of Aging and Health
Xiaoniu Liang, Zhao Chen, Xinqi Dong, Qianhua Zhao, Qihao Guo, Li Zheng, Wei Deng, Jianfeng Luo, Ding Ding
OBJECTIVE: The aim of this study is to explore the association between mental work demands (MWDs) and late-life cognition among Chinese older adults. METHOD: Data were drawn from the baseline of the Shanghai Aging Study. RESULTS: Among 3,546 participants, the mean MWDs index of participants with dementia, mild cognitive impairment (MCI), and cognitive normal were 2.8 ( SD = 0.5), 2.8 ( SD = 0.5), and 2.9 ( SD = 0.4), respectively. Mini Mental State Examination (MMSE) scores in group with low MWDs level decreased more dramatically by increasing age than that in groups with middle and high MWDs level ( p < ...
April 1, 2018: Journal of Aging and Health
Tali Elfassy, Allison E Aiello, Neil Schneiderman, Mary N Haan, Wassim Tarraf, Hector M González, Marc Gellman, Hermes J Florez, Jose A Luchsinger, Clinton B Wright, Ellen Grober, Adina Zeki Al Hazzouri
OBJECTIVES: To examine the association between diabetes and cognitive function within U.S. Hispanics/Latinos of Central American, Cuban, Dominican, Mexican, Puerto Rican, and South American background. METHOD: This cross-sectional study included 9,609 men and women (mean age = 56.5 years), who are members of the Hispanic Community Health Study/Study of Latinos. We classified participants as having diabetes, prediabetes, or normal glucose regulation. Participants underwent a neurocognitive battery consisting of tests of verbal fluency, delayed recall, and processing speed...
March 1, 2018: Journal of Aging and Health
Jyoti Savla, L Rebecca Bivens, Karen A Roberto, Rosemary Blieszner
OBJECTIVE: Despite overall improvements in the U.S. health care, older adults living in rural counties, such as Appalachian Virginia, continue to be underserved. METHOD: Multinomial regression models, including both individual and county data from 503 older adults aged 65+, were used to examine factors associated with informal and formal care use. RESULTS: Older adults with stronger filial beliefs and less positive attitudes toward community services preferred informal help...
March 1, 2018: Journal of Aging and Health
Shannon Ang
OBJECTIVE: Few studies have tested the purported causal mechanisms between social participation and health, especially among those in poor health. This study aimed to determine whether self-management of chronic disease operates as a pathway through which social participation affects health-related quality of life. METHOD: I utilized causal mediation analysis among 600 low-income older Singaporeans living with chronic conditions, to test whether self-management mediates the association between social participation and health-related quality of life...
March 1, 2018: Journal of Aging and Health
Graciela Muniz-Terrera, Fernando Massa, Tatiana Benaglia, Boo Johansson, Andrea Piccinin, Annie Robitaille
OBJECTIVES: To model trajectories of visuospatial reasoning measured using Kohs Block Design test under realistic missing data assumptions and evaluate their association with hazard of death. METHODS: A joint longitudinal-survival model was used to estimate trajectories of visuospatial reasoning under a missing not at random assumption of participants from the Origins of Variance in the Old-Old: Octogenarian Twins study. Sensitivity analyses to missing data assumptions were conducted...
March 1, 2018: Journal of Aging and Health
Roschelle Heuberger, Helen Wong
OBJECTIVE: Despite the growing evidence against artificial nutrition and hydration (ANH) use among patients with advanced dementia, little is known about the perspectives of the health care team. This study examined the knowledge, attitudes, and beliefs of physicians and other health care providers regarding the use of ANH at the end of life (EOL). METHODS: A cross-sectional survey explored the provision of EOL care using a hypothetical case scenario of a patient with advanced dementia and dysphagia...
March 1, 2018: Journal of Aging and Health
Eun Sun So
OBJECTIVE: This study aimed to identify the impacts of weight change and weight change intention on health-related quality of life (HRQL) among community-dwelling Korean elderly individuals. METHOD: Data on those aged 75 years and above from the Korean National Health and Nutrition Examination Survey were analyzed using multiple regression analysis. RESULTS: Compared with no weight change, unintentional weight loss was associated with significantly lower adjusted overall HRQL and lower scores in the subdimensions of mobility, pain/discomfort, usual activities, and self-care (in order), whereas intentional weight loss was associated with significantly poorer scores for anxiety/depression...
March 1, 2018: Journal of Aging and Health
Mai Stafford, Toni C Antonucci, Paola Zaninotto
OBJECTIVE: We describe changes in depressive symptoms and positive and negative social support from the spouse/partner in a representative sample of older people in England. METHOD: Men and women aged 50+ ( N = 7,171) from the English Longitudinal Study of Ageing reported social support and depressive symptoms (Center for Epidemiologic Studies Depression Scale) on up to five occasions between 2002-2003 and 2010-2011. Parallel process latent growth models estimated their bidirectional associations, adjusted for gender, wealth, education, and limiting illness...
March 1, 2018: Journal of Aging and Health
Noha Ferrah, Joseph Elias Ibrahim, Chebiwot Kipsaina, Lyndal Bugeja
OBJECTIVE: This study examines the impact of the transition process on the mortality of elderly individuals following their first admission to nursing home from the community at 1, 3, and 6 months postadmission, and causes and risk factors for death. METHOD: A systematic review of relevant studies published between 2000 and 2015 was conducted using key search terms: first admission, death, and nursing homes. RESULTS: Eleven cohort studies met the inclusion criteria...
April 2018: Journal of Aging and Health
Kathryn E Weaver, Beverly M Snively, Patricia Hogan, Kathryn Josephs, Karen C Johnson, Mace Coday, Ana M Progovac, Dominic J Cirillo, Judith K Ockene, Hilary A Tindle
OBJECTIVES: Older female smokers are highly vulnerable, yet little is known about their attitudes, beliefs, and behaviors regarding smoking cessation. METHODS: Southeast region Women's Health Initiative participants identified as smokers on at least one prior assessment were surveyed in 2012 regarding current tobacco use. RESULTS: Most of these current and former smokers ( N = 409, 63% response) were non-Hispanic White (81.7%) and had some college (80%), with mean age of 75...
April 2018: Journal of Aging and Health
Nienke O Kuk, G A Rixt Zijlstra, Gerrie J J W Bours, Jan P H Hamers, Frans E S Tan, Gertrudis I J M Kempen
OBJECTIVE: To obtain insight into (a) the prevalence of nursing staff-experienced barriers regarding the promotion of functional activity among nursing home residents, and (b) the association between these barriers and nursing staff-perceived promotion of functional activity. METHOD: Barriers experienced by 368 nurses from 41 nursing homes in the Netherlands were measured with the MAastrIcht Nurses Activity INventory (MAINtAIN)-barriers; perceived promotion of functional activities was measured with the MAINtAIN-behaviors...
April 2018: Journal of Aging and Health
Matthew A Andersson, Joan K Monin
OBJECTIVE: We evaluate how the size and composition of care networks change with increasing morbidity count (i.e., multimorbidity) and how larger care networks relate to recipient psychological well-being. METHOD: Using the National Health and Aging Trends study (NHATS; N = 7,026), we conduct multivariate regressions to analyze size and compositional differences in care networks by morbidity count and recipient gender, and to examine differences in recipient psychological well-being linked to care network size...
April 2018: Journal of Aging and Health
Mireya Vilar-Compte, Liliana Giraldo-Rodríguez, Adriana Ochoa-Laginas, Pablo Gaitan-Rossi
OBJECTIVE: We assessed the association between depression and elder abuse, and the mediation effect of social support among elder women in Mexico City. METHOD: A total of 526 noninstitutionalized elder women, residing in Mexico City and attending public community centers were selected. Logistic regressions and structural equation models (SEM) were estimated. RESULTS: One fifth of the elderly women were at risk of depression, one third suffered some type of abuse in the past 12 months, and 82% reported low social support...
April 2018: Journal of Aging and Health
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