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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
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
Lorraine J Phillips, Emily Leary, Jody Blankenship, Sheryl Zimmerman
OBJECTIVE: This study aimed to identify predictors of 6-month physical function and 12-month relocation or death in 272 residents of 34 residential care/assisted communities. METHOD: Measures collected at baseline, 6, and 12 months included health and demographic characteristics; self-reported pain, fatigue, and depressive symptoms; exercise self-efficacy, barriers, and expectations; attitudes on aging; performance-based physical function and physical activity; and community demographics, programs, and policies...
November 1, 2017: Journal of Aging and Health
Adrian N S Badana, Victoria Marino, William E Haley
OBJECTIVE: To examine differences between White and African American caregivers in strain, health, and service use in a population-based sample of informal caregivers for older adults. We also assessed whether relationship type (parent, other family, friend) and dementia care status (yes or no) were moderators of any racial differences. METHOD: We examined 887 informal caregivers via covariate-adjusted 3 × 2 × 2 factorial ANOVAs. RESULTS: After covariate adjustment, there were few significant racial differences in caregiving strain, health, and service use...
November 1, 2017: Journal of Aging and Health
Amber M Tetlow, Ross Andel, Frank J Infurna
OBJECTIVE: To examine whether changes in memory over a 10-year period could predict a change in C-reactive protein (CRP) levels. METHOD: A mixed model analysis was first conducted to obtain the estimates for change in memory over the 10-year period using data from the Health and Retirement Study. Then a multivariate regression to determine whether a change in episodic memory could predict subsequent CRP levels was conducted. Furthermore, a general linear model was conducted to determine differences in CRP levels among different rates of change in episodic memory...
November 1, 2017: Journal of Aging and Health
Ronica N Rooks, Craig G Kapral, Arlesia L Mathis
OBJECTIVE: This research examines health information (HI) seeking and use among middle-aged and older adults with chronic health conditions. METHOD: We used logistic regression models to analyze HI seeking ( N = 7,822) and use (N = 4,541-4,547) among participants (aged 45+ years) with chronic conditions from the nationally-representative Health Tracking Household Survey. RESULTS: Adults aged 45+ years with chronic conditions were significantly more likely to seek and use HI; however, these results varied based on the age and education...
November 1, 2017: Journal of Aging and Health
Nicole M Armstrong, Michelle C Carlson, Qian-Li Xue, Jennifer Schrack, Mercedes R Carnethon, Paulo H M Chaves, Alden L Gross
OBJECTIVES: To evaluate whether late-life depression mediates the association of subclinical cardiovascular disease (CVD) with all-cause mortality. METHOD: Using data from 3,473 Cardiovascular Health Study participants, the Cox proportional hazards model was used to examine the direct and indirect (via late-life depression) effects of the association between baseline subclinical CVD and all-cause mortality with weights derived from multivariable logistic regression of late-life depression on subclinical CVD...
November 1, 2017: Journal of Aging and Health
Consuelo H Wilkins, Jeannine S Skinner, Alaina P Boyer, Nancy Morrow-Howell, Judith M Smith, Stanley J Birge
OBJECTIVE: Examine the effects of a 6-month health multidimensional intervention on physical function, bone density, and mood in a diverse sample of community-dwelling older adults at risk for frailty and excess disability. METHOD: A quasi-experimental, pre- post-program design was implemented. Adults aged 55 years and older ( n = 337, 60% African American) participated in the intervention and received assessments at baseline, 6 months, and 12 months. RESULTS: Physical function was maintained during the intervention for both African American and White elders but declined at 12 months for both groups ( p < ...
November 1, 2017: 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
Paul Gellert, Petra von Berenberg, Thomas Zahn, Julia Neuwirth, Adelheid Kuhlmey, Dagmar Dräger
OBJECTIVES: Multimorbidity in centenarians is common; although investigations of the prevalence of morbidity in centenarians are accumulating, research on profiles of co-occurrence of morbidities is still sparse. Our aim was to explore profiles of comorbidities in centenarians. METHOD: Health insurance data from 1,121 centenarians comprising inpatient and outpatient diagnoses from the past 5 years (2009-2013) were analyzed using latent class analysis with adjustments for sex, age, hospitalization, and long-term care...
October 1, 2017: Journal of Aging and Health
Phoebe W Hwang, Cristiano Dos Santos Gomes, Mohammad Auais, Kathryn L Braun, Jack M Guralnik, Catherine M Pirkle
OBJECTIVE: This study examines the relationship between economic adversity transitions from childhood to older adulthood and older adulthood physical performance among 1,998 community-dwelling older adults from five demographically diverse sites from middle and high-income countries. METHOD: The principal exposure variable was economic adversity transition. No adversity encompassed not experiencing poverty in both childhood and older adulthood, improved described having only experienced poverty in childhood, worsened captured having experienced poverty in older adulthood, and severe is having experienced poverty in both childhood and older adulthood...
October 1, 2017: Journal of Aging and Health
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