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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
Cara L Brown, Verena Menec
OBJECTIVE: To identify older adults who could benefit from integrated care, we examined (a) health, social, and functional characteristics of older, hospitalized adults who required continuing care on discharge and (b) associations between these characteristics and potentially unnecessary health care use. METHOD: Personal characteristics were extracted from patient charts ( N = 214) and examined in relation to three outcomes: discharge to institutional care, unnecessary hospital stay (alternative level of care), and long hospital stay...
February 1, 2018: Journal of Aging and Health
Dana A Glei, Noreen Goldman, Carol D Ryff, Maxine Weinstein
OBJECTIVE: We compare physical performance from three U.S. national surveys and nationally representative surveys in England, Taiwan, and Costa Rica. METHOD: For each performance test, we use local mean smoothing to plot the age profiles by sex and survey wave and then fit a linear regression model to the pooled data, separately by sex, to test for significant differences across surveys controlling for age and height. RESULTS: Age profiles of performance vary across U...
February 1, 2018: Journal of Aging and Health
Ola Sternäng, Katie Palmer, Zarina N Kabir, Mohammed I Hasan, Åke Wahlin
OBJECTIVES: We constructed a functional biological age (fBioAge) indicator by using four functional variables: grip strength, forced expiratory lung volume, visual acuity, and hearing. Our aim was to compare how chronological age (ChronAge) and fBioAge are related to cognitive abilities in older adults. METHOD: We used data from the Poverty and Health in Aging project, Bangladesh. Participants ( N = 400) were 60+ years of age and diagnosed as nondemented. Examined cognitive abilities were four episodic memory measures (including recall and recognition), two verbal fluency indicators, two semantic knowledge, and two processing speed tasks...
February 1, 2018: Journal of Aging and Health
Lacey J Ritter, Koji Ueno
OBJECTIVE: This study examines difference in sexually transmitted disease (STD) prevalence between sexual minority and heterosexual older adults using lifetime experience of same-sex contact (SSC) as a measure of sexual orientation. METHOD: Data from the National Social Life, Health, and Aging Project ( N = 2,519) are analyzed using negative binomial regression and propensity matching models to test for differences in average STD counts by sexual orientation. RESULTS: Older adults who report any SSC have higher lifetime counts of STDs...
February 1, 2018: Journal of Aging and Health
Nicholas K Schiltz, David F Warner, Jiayang Sun, Kathleen A Smyth, Stefan Gravenstein, Kurt C Stange, Siran M Koroukian
OBJECTIVE: The aim of this study is to evaluate the relationship of leading causes of death with gradients of cognitive impairment and multimorbidity. METHOD: This is a population-based study using data from the linked 1992-2010 Health and Retirement Study and National Death Index ( n = 9,691). Multimorbidity is defined as a combination of chronic conditions, functional limitations, and geriatric syndromes. Regression trees and Random Forest identified which combinations of multimorbidity associated with causes of death...
January 1, 2018: Journal of Aging and Health
Enid Schatz, Brian Houle, Sanyu A Mojola, Nicole Angotti, Jill Williams
OBJECTIVE: The African HIV epidemic is aging, yet HIV testing behavior studies either exclude older persons or include too few to say much about age differences. METHOD: Strategically combining focus group interviews (participants in 40s/50s/60s-plus age groups) and survey data from rural South Africa (where HIV prevalence peaks in the late 30s, but continues to be over 10% into the late 60s), we examine gender and life course variation, motivations, and barriers in HIV testing...
January 1, 2018: Journal of Aging and Health
Taina Rantanen, Erja Portegijs, Katja Kokko, Merja Rantakokko, Timo Törmäkangas, Milla Saajanaho
OBJECTIVE: To develop an assessment method of active aging for research on older people. METHOD: A multiphase process that included drafting by an expert panel, a pilot study for item analysis and scale validity, a feedback study with focus groups and questionnaire respondents, and a test-retest study. Altogether 235 people aged 60 to 94 years provided responses and/or feedback. RESULTS: We developed a 17-item University of Jyvaskyla Active Aging Scale with four aspects in each item (goals, ability, opportunity, and activity; range 0-272)...
January 1, 2018: Journal of Aging and Health
(no author information available yet)
Nilsen, C., Agahi, N., & Kåreholt, I. (2017): Work stressors in late midlife and physical functioning in old age. Journal of Aging and Health, 29, 893-911. DOI: 10.1177/0898264316654673 In the above article, on page 903, the following paragraph has been placed incorrectly "example, passive jobs have been associated with an inactive lifestyle in men but not women (Gimeno et al., 2009). However, the association remained after controlling for lifestyle factors (physical activity and smoking), although the results regarding mobility problems and limited physical performance were slightly attenuated (Table 4, Model II)...
February 2018: Journal of Aging and Health
Yohannes W Endeshaw, Wonsuk Yoo
OBJECTIVES: To compare the risk of insomnia symptoms among community-dwelling older adults who participated and did not participate in organized social activity and physical exercise. DESIGN: Secondary data analysis of a prospective cohort study. MATERIAL AND METHODS: Community-dwelling older adults ≥65 years of age with no insomnia symptoms at baseline were included in the study. Participants were followed up yearly for 3 years. Insomnia symptoms, social activity, and physical exercise status of study participants were assessed at baseline and during follow-up...
December 1, 2017: Journal of Aging and Health
Gary T Deimling, Holly Pappada, Minzhi Ye, Elizabeth Nalepa, Spencier Ciaralli, Erin Phelps, Christopher J Burant
OBJECTIVE: This article examines the relative importance of cancer-related and noncancer illness factors as they predict the health quality of life among older adult, long-term cancer survivors. Specifically, it examines the effects that continuing cancer symptoms and comorbidities have on functional difficulties and how they in turn affect perceptions of disability and self-rated health. METHOD: Data from an National Cancer Institute (NCI)-funded, tumor registry-based 10-year study of 321 older adult (age 60+), long-term (5+years post diagnosis) survivors of breast colorectal and prostate cancer are examined using regression analyses...
December 1, 2017: Journal of Aging and Health
Reza Amini, Kyong Hee Chee, James Swan, Maximiliano Mendieta, TimMarie Williams
OBJECTIVE: This study aims to examine the relationship between different levels of cognitive impairment (CI) and the frequency of hospital admission (HA). METHOD: Data from the National Health and Aging Trend Study, Round 1 (2011), with 8,245 respondents from Medicare beneficiaries were used. The data account for the number of hospital admissions for one year before the data collection. Clock Drawing Test and delayed word recall were employed to measure CI. RESULTS: The severity of CI is one of the factors significantly associated with HA...
December 1, 2017: Journal of Aging and Health
Phillip G Clark, Geoffrey W Greene, Bryan J Blissmer, Faith D Lees, Deborah A Riebe, Karen E Stamm
OBJECTIVE: Our objective was to describe behavioral change trajectories for healthful eating and exercise in a group of community-dwelling older adults. A secondary aim was to determine predictors of maintenance and resilience. METHOD: Subjects were participants in the Study of Exercise and Nutrition in Older Rhode Islanders (SENIOR) I study who had achieved postaction stage of change for at least one behavior by its end. They were recruited for SENIOR II, a 48-month study with annual assessments on demographic, anthropometric, cognitive, psychosocial, and behavioral variables...
December 1, 2017: 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...
December 1, 2017: Journal of Aging and Health
Heide Jackson, Michal Engelman, Karen Bandeen-Roche
OBJECTIVE: We offer a strategy for quantifying the impact of mortality and attrition on inferences from later-life health trajectory models. METHOD: Using latent class growth analysis (LCGA), we identify functional limitation trajectory classes in the Health and Retirement Study. We compare results from complete case and full information maximum likelihood (FIML) analyses, and demonstrate a method for producing upper- and lower-bound estimates of the impact of attrition on results...
December 1, 2017: Journal of Aging and Health
Else Foverskov, Erik Lykke Mortensen, Anders Holm, Jolene Lee Masters Pedersen, Merete Osler, Rikke Lund
OBJECTIVE: Investigate direct and indirect associations between markers of socioeconomic position (SEP) across the life course and midlife cognitive ability while addressing methodological limitations in prior work. METHOD: Longitudinal data from the Danish Metropolit cohort of men born in 1953 ( N = 2,479) who completed ability tests at age 12, 18, and 56-58 linked to register-based information on paternal occupational class, educational attainment, and occupational level...
November 1, 2017: Journal of Aging and Health
Matthew A Andersson, Mark H Walker, Brian P Kaskie
OBJECTIVE: We evaluate whether strong associations between unmet need and work interruption observed among informal elder caregivers are explained by caregiver personal characteristics, caregiving situations, or diminished caregiver well-being. METHOD: We analyze a proprietary survey of informal elder caregivers conducted by a single large U.S. employer ( N = 642 caregivers). RESULTS: Unmet need was about twice as common among those experiencing mild (29...
November 1, 2017: Journal of Aging and Health
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