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Gerontology & Geriatric Medicine

Emmanuel Mawuli Abalo, Charlotte Monica Mensah, Williams Agyemang-Duah, Prince Peprah, Hayford Isaac Budu, Razak M Gyasi, Philomina Donkor, Jones Amoako
Studies have constantly reported mixed evidence on the associations between rural/urban differences and self-rated health (SRH) status among older populations. More importantly, the roles of other relevant sociodemographic characteristics such as gender and educational levels in these associations are mostly overlooked. The current study examines the geographical differences in SRH of older cohorts in Kumasi Metropolis and Bosomtwe District of Ghana. Data from a Spatial Health and Healthcare Study (SHHS) were analyzed using chi-square test and ordinal logistic regression models...
January 2018: Gerontology & Geriatric Medicine
Grace A Noppert, Candace S Brown, Marianne Chanti-Ketterl, Katherine S Hall, L Kristin Newby, Harvey Jay Cohen, Miriam C Morey
Objective: We used the Physical Performance Across the LifeSpan Study to investigate the relationships of multiple indicators of socioeconomic status (SES), both in early life and late life, with physical function. Method: We examined associations between multiple early and late life SES indicators with physical function measured by aerobic endurance, gait speed, and lower body strength. Results: Higher participant education and household income were associated with increased physical function. In our age-stratified analysis, we observed widening SES disparities with increasing age among those in the two younger strata with lower SES associated with worse physical function...
January 2018: Gerontology & Geriatric Medicine
Natalia Adamczewska, Samuel Robert Nyman
Fear of falling (FoF) is as an important psychological problem among older people. While it has been researched for around four decades, paradoxically there is no agreed definition of FoF. Confusion over the definition of FoF inhibits current understanding of empirical findings. The objective of this article is to critique current definitions of FoF and to present a novel theoretical model that aims to resolve theoretical misunderstanding. A narrative review was conducted to present definitions of FoF and concepts often conflated with it including fall-related self-efficacy and anxiety...
January 2018: Gerontology & Geriatric Medicine
Sarah E Walsh, A Scott LaJoie
Objectives: Prior research has shown social capital and built environment quality are associated with overall health status and the incidence of mental illness. This study explores the relationship between social capital, built environment, and quality of life specifically for assisted living residents, currently a gap in the literature. Method: A total of 76 assisted living residents were interviewed for the study using researcher-administered questionnaires. In addition, site audits were conducted to quantitatively evaluate the built environment surrounding 12 assisted living communities in the Louisville Metro region...
January 2018: Gerontology & Geriatric Medicine
Miia Rahja, Kate Laver, Tracy Comans, Maria Crotty
Objective: To identify the Australian general population's awareness regarding the presence and effectiveness of treatments for dementia. Method: An online survey administered through a consumer panel provider (PureProfile). Included were people aged 18 years or above living in Australia. The survey asked participants about their knowledge of treatments for dementia and attitudes toward the effectiveness of evidence-based treatments. Results: Of the 1,001 participants, more than half (63.5%) could not spontaneously name any treatments that improved outcomes for people with dementia...
January 2018: Gerontology & Geriatric Medicine
S M J Mortazavi
No abstract text is available yet for this article.
January 2018: Gerontology & Geriatric Medicine
Mikael Rennemark, Claes Jogréus, Sölve Elmståhl, Anna-Karin Welmer, Anders Wimo, Johan Sanmartin-Berglund
Objectives: Moderate physical activity gains survival. There are, however, several variables that may affect this relationship. In this study, the relationship between moderate physical activity and longevity was investigated, taking into account age, gender, smoking habits, cohabitation status, body mass index, leg strength and balance, education level and cognitive function. Method: A sample of 8,456 individuals aged 60 to 96 years, representative of the Swedish population, was included. Participants were followed from 2004 to 2015...
January 2018: Gerontology & Geriatric Medicine
Noelle L Fields, Gail Adorno, Brandi Felderhoff, Rupal Parekh Msw, Vivian Miller Msw, Karen Magruder, Kellie Rogers
The term "emerging elders" has surfaced in age-friendly community assessment tools to denote a subset of older adults; however, limited guidance is provided on its application to aging populations. The goal of this study was to develop a data-driven conceptualization of "emerging elders" as part of an age-friendly community assessment. Adults, aged 55 years and above, were asked about their subjective meaning of "emerging elder" within the context of a larger study of aging well in a large U...
January 2018: Gerontology & Geriatric Medicine
Esmeralda Valdivieso-Mora, Mirjana Ivanisevic, Leslie A Shaw, Mauricio Garnier-Villarreal, Zachary D Green, Mónica Salazar-Villanea, José Moncada-Jiménez, David K Johnson
Objective: To test the validity of a common measure of health-related quality of life (Short-Form-36 [SF-36]) in cognitively healthy older adults living in rural and urban Costa Rica. Method: Confirmatory factor analysis was applied to SF-36 data collected in 250 older adults from San Jose and Guanacaste, Costa Rica. Results: The best fitting model for the SF-36 was an eight first-order factor structure. A high correlation between the Mental Component Summary and Physical Component Summary scores was found...
January 2018: Gerontology & Geriatric Medicine
Yiwei Chen, Jiaxi Wang, Ying Liang, Fei Sun, XinQi Dong
Objective: The primary purposes of the present study are (a) to investigate the stress-cognition relationship among U.S. Chinese older adults and (b) to examine the moderating role of health status on the stress-cognition relationship. Method: Data were drawn from the Population Study of Chinese Elderly in Chicago (PINE), which investigated 3,157 Chinese adults over 60 years old living in Chicago. Participants reported health status and completed the Chinese Perceived Stress Scale. Cognitive functions were measured by the East Boston Memory Test, the Digit Span Backward, the Symbol Digit Modalities Test, and Chinese Mini-Mental State Examination...
January 2018: Gerontology & Geriatric Medicine
Fengyan Tang, Huajuan Chen, Yalu Zhang, Ada C Mui
The population in China has been aging rapidly over the past two decades, raising concerns about how to meet the health and long-term care needs of the growing older adult population. The productive aging framework has been applied to promote the active roles that older adults can play in society and to improve physical and psychological well-being. Employment, as an essential form of productive aging, is central to personal control, self-identify, economic resources, and social connectedness. However, there is no clear role or accommodation for older workers in China due to the mandatory retirement policy and traditional culture of gender roles...
January 2018: Gerontology & Geriatric Medicine
Dexia Kong, Joan Davitt, XinQi Dong
Objective: Loneliness has been associated with cognitive functioning in the general older adult population. Previous studies further indicate that loneliness has a strong association with depressive symptoms and the two constructs can reinforce each other to diminish well-being. However, such relationships have not been examined in U.S. Chinese older adults. This study attempts to bridge this knowledge gap. Method: Data were drawn from a population-based study of 3,159 U.S. Chinese older adults in the Greater Chicago area...
January 2018: Gerontology & Geriatric Medicine
XinQi Dong, Jialing Jiang
Objective: To examine U.S. Chinese older women and the association between their cancer screening behaviors and self-reported cancers with Traditional Chinese Medicine (TCM) use across sociodemographic characteristics. Method: Through the Population Study of Chinese Elderly in Chicago (PINE), 1,830 Chinese older women self-reported history of cancer screening, presence of women's cancers, and TCM use according to type. Analyses were performed using multivariate regression models. Results: Chinese older women who underwent breast cancer screening are more likely to use herbal TCM (rate ratio [RR] = 1...
January 2018: Gerontology & Geriatric Medicine
Fengyan Tang, Wei Zhang, Iris Chi, XinQi Dong
Using data from the Population Study of Chinese Elderly in Chicago (PINE) conducted from 2011 to 2013, this study aims to examine the role of acculturation in engagement in cognitive, social, and religious activities among older Chinese Americans. Activity engagement and acculturation levels were relatively low in the study sample. Multivariate regression analyses showed that high levels of acculturation in general, and particularly media use (e.g., TV and radio) and ethnic social relations (i.e., preferred ethnicity of those with whom one interacts) were associated with more engagement in cognitive and social activities, respectively...
January 2018: Gerontology & Geriatric Medicine
Shaoqing Ge, Bei Wu, XinQi Dong
Background: The aim of this study was to understand the associations between acculturation and oral health among older Chinese immigrants in the United States. Method: We used data from the PINE study, which included the foreign-born older Chinese immigrants ( N = 3,128). We measured acculturation by measuring participants' length of stay and behavioral acculturation. Participants' tooth and gum symptoms were the outcome variables. Results: Longer stay in the United States was significantly associated with fewer gum symptoms but not with tooth symptoms...
January 2018: Gerontology & Geriatric Medicine
Ling Xu, Iris Chi, Shiyou Wu
Being a grandparent is an important social role for Chinese older adults. Despite an increasing number of older Chinese immigrants in the United States and the uniquely differing culture of the United States relative to Chinese culture, few studies focused specifically on Chinese immigrant families in the United States. By conducting four focus groups ( n = 32) in Los Angeles, CA, this study aimed to explore grandparent-grandchild relationships in Chinese immigrant families in the U.S. We found that the majority of Chinese immigrant grandparents maintained close relationships with their grandchildren...
January 2018: Gerontology & Geriatric Medicine
Mei Ching Lee, Katherine A Hinderer, Carla S Alexander
Background: To provide optimal end-of-life (EOL) care in the Chinese American population, we need to have a better understanding of what matters most at EOL from their perspective. Experiencing a "good death" at the EOL is the optimal goal of palliative care. Studies show that the meaning and description of good death varies across cultures in different populations. In the United States, Chinese Americans comprise the largest Asian demographic. Aim: To describe EOL wishes, which define a good death for Chinese Americans...
January 2018: Gerontology & Geriatric Medicine
Ying-Yu Chao, Carina Katigbak, Ning Jackie Zhang, XinQi Dong
Purpose: This study examined the association between social support and depressive symptoms among U.S. Chinese older adults. Methods: Data were from the Population Study of Chinese Elderly in Chicago (PINE) study. Independent variables were positive and negative perceived social support (PSS). Dependent variable was depressive symptoms. Multinomial logistic regression analyses were performed. Results: A total of participants were 3,157 Chinese older adults with the mean age of 72.8 years (range 60-105 years)...
January 2018: Gerontology & Geriatric Medicine
Chien-Ching Li, Alicia K Matthews, XinQi Dong
Objective: Andersen's Behavioral Model of Health Services Utilization was used as a framework to examine the influence of acculturation and health literacy on cancer screening behaviors among older Chinese Americans living in the greater Chicago area. Method: Data were obtained from the Population Study of Chinese Elderly in Chicago ( N = 3,157; mean age = 72.8 years). Logistic regression analyses were conducted to examine the impact of acculturation and health literacy on lifetime cancer screening utilizations and adherence to cancer screening guideline established by American Cancer Society (ACS) after controlling for predisposing, enabling, and need factors of Andersen's behavioral model...
January 2018: Gerontology & Geriatric Medicine
Wei Zhang, Lin Liu, Fengyan Tang, XinQi Dong
Among older Chinese adults in the United States, depression is a common health problem. Using data from the first population-based survey of older Chinese Americans ( N = 2,929) and applying negative binomial and ordinary least squares regression models, this study examines the relationship between social engagement (including cognitive activity and social activity) and sense of loneliness and hopelessness. Findings reveal that social engagement is significantly and negatively related to both loneliness and hopelessness after controlling for sociodemographic characteristics and health status...
January 2018: Gerontology & Geriatric Medicine
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