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American indian older adult

Grant R Martsolf, Marc N Elliott, Amelia M Haviland, Q Burkhart, Nate Orr, Sarah Gaillot, Debra Saliba
BACKGROUND: Having a "personal" physician is a critical element to care continuity. Little is known about which older adults are more likely to lack personal physicians and if their care experiences differ from those with a personal physician. OBJECTIVE: The objective of this study was to describe care experiences and characteristics associated with not having a personal physician. RESEARCH DESIGN: We compare rates of lacking a personal physician across subgroups...
February 16, 2018: Medical Care
Zoya Gubernskaya, Judith Treas
Objectives: To identify diverse pathways to linguistic isolation (LI) and explain the differences in LI for older immigrants from different countries. Method: A demographic decomposition of LI was applied to 18 largest origin subgroups of foreign-born, ages 65 and older, in the 2010-2014 American Community Survey data. Results: LI varied from 12% for older Indians to 68% for older Ukrainians. Decomposition analysis identified 3 components: (a) Limited English proficiency (LEP); (b) Solitary living; and (c) Limited English of co-resident others...
January 24, 2018: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
R Turner Goins, Mark Schure, Paul N Jensen, Astrid Suchy-Dicey, Lonnie Nelson, Steven P Verney, Barbara V Howard, Dedra Buchwald
BACKGROUND: More than six million American Indians live in the United States, and an estimated 1.6 million will be aged ≥65 years old by 2050 tripling in numbers since 2012. Physical functioning and related factors in this population are poorly understood. Our study aimed to assess lower body functioning and identify the prevalence and correlates of "good" functioning in a multi-tribe, community-based sample of older American Indians. METHODS: Assessments used the Short Physical Performance Battery (SPPB)...
January 5, 2018: BMC Geriatrics
Stephanie K Tanamas, Sanil P Reddy, Melissa A Chambers, Elena J Clark, Diana L Dunnigan, Robert L Hanson, Robert G Nelson, William C Knowler, Madhumita Sinha
OBJECTIVES: The risk of early-onset type 2 diabetes associated with the severity of obesity in youth is not well understood. This study aims to determine metabolic alterations and type 2 diabetes risk among American Indian children who are obese or severely obese. METHODS: Incidence rates of diabetes before 20 years (youth-onset) and 45 years were computed in 2728 children who were from 5 to <10 years and 4317 adolescents who were from 10 to <18 years without diabetes examined between 1965 and 2007...
December 28, 2017: Pediatric Diabetes
Ursula Running Bear, Calvin D Croy, Carol E Kaufman, Zaneta M Thayer, Spero M Manson
PURPOSE: American Indian (AI) boarding school attendance is related to poor physical health status; however, little is known about how specific aspects of this experience contribute to poor health. Five experiences (age of first attendance, limited family visits, forced church attendance, prohibition on practicing AI culture and traditions, and punishment for use of AI language) may be independently associated with physical health status in adulthood. We expected the effect to be greater for those who began boarding school at older ages...
November 18, 2017: Quality of Life Research
Heehyul Moon, Yeon-Shim Lee, Soonhee Roh, Catherine E Burnette
OBJECTIVE: Our objective was to identify the factors that impact mental health service use among American Indian (AI) older adults living in South Dakota compared to their White counterparts. DESIGN AND METHODS: Using a cross-sectional design with 735 participants (n = 502 Whites, n = 233 AIs), we used ordinal regressions to analyze the extent to which predisposing, need, and enabling/hindering factors predicted the level of mental health service utilization...
October 19, 2017: Journal of Racial and Ethnic Health Disparities
Maria Pisu, Joshua Richman, Kendra Piper, Roy Martin, Ellen Funkhouser, Chen Dai, Lucia Juarez, Jerzy P Szaflarski, Edward Faught
BACKGROUND: Enzyme-inducing antiepileptic drugs (EI-AEDs) are not recommended for older adults with epilepsy. Quality Indicator for Epilepsy Treatment 9 (QUIET-9) states that new patients should not receive EI-AEDs as first line of treatment. In light of reported racial/ethnic disparities in epilepsy care, we investigated EI-AED use and QUIET-9 concordance across major racial/ethnic groups of Medicare beneficiaries. RESEARCH DESIGN: Retrospective analyses of 2008-2010 Medicare claims for a 5% random sample of beneficiaries 67 years old and above in 2009 augmented for minority representation...
July 2017: Medical Care
Bernhard Haring, Wenyu Wang, Amanda Fretts, Daichi Shimbo, Elisa T Lee, Barbara V Howard, Mary J Roman, Richard B Devereux
OBJECTIVE: The aim of this study was to investigate whether red meat consumption is related to changes in left ventricular mass (LVM), left atrial diameter and carotid atherosclerosis in American Indians. METHODS: We prospectively analyzed echocardiographic and carotid ultrasound data of 1090 adults aged 40 years and older enrolled in the Strong Heart Family Study who were free of cardiovascular disease at baseline - 535 (49%) were hypertensive and 555 (51%) participants were nonhypertensive...
September 2017: Journal of Hypertension
Catherine Elizabeth Burnette, Soonhee Roh, Kyoung Hag Lee, Yeon-Shim Lee, Lisa A Newland, Jung Sim Jun
Despite efforts to reduce health disparities, many American Indian and Alaska Native (AI/AN) populations, including older adults, experience elevated levels of depression and associated suicide. Although adverse childhood experiences (ACEs) and social support are well-documented risk and protective factors for depression in the general population, little is known about AI/AN populations, especially older adults. The purpose of this study was to examine factors related to depression among a sample of AI older adults in the Midwest...
February 1, 2017: Health & Social Work
Kavita Radhakrishnan, Shubhada Saxena, Regina Jillapalli, Yuri Jang, Miyong Kim
PURPOSE: To identify barriers to and facilitators of older South Asian Indian-Americans' (SAIAs') engagement in behaviors associated with advance care planning (ACP). METHODS: Using a descriptive qualitative design guided by the transcultural nursing assessment model, data were collected in focus groups of community-dwelling older SAIA participants, SAIA family caregivers, and SAIA physicians. A directed approach using predetermined coding categories derived from the Transcultural Nursing Assessment model and aided by NVivo 10 software (Melbourne, Australia) facilitated the qualitative data analysis...
May 2017: Journal of Nursing Scholarship
Roy C Martin, Edward Faught, Jerzy P Szaflarski, Joshua Richman, Ellen Funkhouser, Kendra Piper, Lucia Juarez, Chen Dai, Maria Pisu
OBJECTIVE: Disparities in epilepsy treatment are not uncommon; therefore, we examined population-based estimates of initial antiepileptic drugs (AEDs) in new-onset epilepsy among racial/ethnic minority groups of older US Medicare beneficiaries. METHODS: We conducted retrospective analyses of 2008-2010 Medicare administrative claims for a 5% random sample of beneficiaries augmented for minority representation. New-onset epilepsy cases in 2009 had ≥1 International Classification of Diseases, Ninth Revision (ICD-9) 345...
April 2017: Epilepsia
Kendra Piper, Joshua Richman, Edward Faught, Roy Martin, Ellen Funkhouser, Jerzy P Szaflarski, Chen Dai, Lucia Juarez, Maria Pisu
INTRODUCTION: Older minority groups are more likely to have poor AED adherence. We describe adherence to antiepileptic drugs (AEDs) among older Americans with epilepsy. METHODS: In retrospective analyses of 2008-2010 Medicare claims for a 5% random sample of beneficiaries augmented by minority representation, epilepsy cases in 2009 were those with ≥1 claim with ICD-9345.x or ≥2 with 780.3x, and ≥1 AED. New-onset cases had no such claims or AEDs in the year before the 2009 index event...
January 2017: Epilepsy & Behavior: E&B
Cindy L Ehlers, Derek N Wills, Philip Lau, David A Gilder
STUDY OBJECTIVES: Epidemiological studies have found that insufficient sleep (< 7 h/night) is more common among American Indians/Alaska Natives (AI/AN). In this study we sought to identify specific demographic, clinical, and cultural factors that may be associated with reduced sleep quality in an American Indian community sample. METHODS: Information on demography along with personal medical, psychiatric, and drinking history was obtained using the Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA)...
March 15, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Craig N Sawchuk, Emily Van Dyke, Adam Omidpanah, Joan E Russo, Ursula Tsosie, Jack Goldberg, Dedra Buchwald
INTRODUCTION: Cancer is among the leading causes of death in American Indians and Alaska Natives (AI/ANs), with rates increasing over the last two decades. Barriers in accessing cancer screening and treatment likely contribute to this situation. METHODS: We administered structured clinical interviews and conducted descriptive and multiple linear regression analyses of demographic, health, spiritual, and treatment factors associated with self-reported barriers to cancer care among 143 adult AI/AN oncology patients...
2016: Journal of Health Care for the Poor and Underserved
Ranjita Misra, Haslyn Hunte
BACKGROUND: Perceived interpersonal discrimination while seeking healthcare services is associated with poor physical and mental health. Yet, there is a paucity of research among Asian Americans or its subgroups. This study examined the correlates of reported interpersonal discrimination when seeking health care among a large sample of Asian Indians, the 3rd largest Asian American subgroup in the US, and identify predictors of adverse self-rated physical health, a well-accepted measure of overall health status...
October 12, 2016: BMC Health Services Research
Alan Cook, Kristina Chapple, Neil Motzkin, Jeanette Ward, Forrest Moore
BACKGROUND: Racial/ethnic disparities in trauma care have been reported. The American Indian/Alaska Native (AI/AN) population faces a twofold to fourfold increase of risk for traumatic injury. We hypothesized that surgical intervention and time to surgery were associated with race/ethnicity, specifically AI/AN compared to other race/ethnicity groups with open pelvic and lower extremity fractures (OPLEFx). METHODS: Non-AI/AN racial/ethnic groups were compared to AI/ANs among adults aged 15 years and older using the National Trauma Data Bank for 2008-2012...
August 2017: Journal of Racial and Ethnic Health Disparities
Jamie Jensen, Den Yelle Baete Kenyon, Jessica D Hanson
Research has determined that the prevention of alcohol-exposed pregnancies (AEP) must occur pre-conceptually with women, either by reducing alcohol intake in women planning pregnancy or at-risk for becoming pregnant, or by preventing pregnancy in women drinking at risky levels. One such AEP prevention programme with non-pregnant American Indian women is the Oglala Sioux Tribe (OST) CHOICES (Changing High-risk alcohOl use and Increasing Contraception Effectiveness Study) Programme, which shows promise in reducing AEP risk in American Indian women aged 18 or older...
2016: Sex Education
Wendy E Barrington, Emily White
OBJECTIVE: To evaluate associations of fast-food items (FFI) and sugar-sweetened drinks (SSD) with mortality outcomes including deaths due to any cause, CVD and total cancers among a large sample of adults. DESIGN: Using a prospective design, risk of death was compared across baseline dietary exposures. Intakes of FFI and SSD were quantified using a semi-quantitative FFQ (baseline data collected 2000-2002). Deaths (n 4187) were obtained via the Washington State death file through 2008, excluding deaths in the first year of follow-up...
December 2016: Public Health Nutrition
Lori Garman, Kenneth Smith, Emily E Muns, Cathy A Velte, Christina E Spooner, Melissa E Munroe, A Darise Farris, Michael R Nelson, Renata J M Engler, Judith A James
Although the U.S. National Academy of Sciences concluded that anthrax vaccine adsorbed (AVA) has an adverse event (AE) profile similar to those of other adult vaccines, 30 to 70% of queried AVA vaccinees report AEs. AEs appear to be correlated with certain demographic factors, but the underlying immunologic pathways are poorly understood. We evaluated a cohort of 2,421 AVA vaccinees and found 153 (6.3%) reported an AE. Females were more likely to experience AEs (odds ratio [OR] = 6.0 [95% confidence interval {CI} = 4...
August 2016: Clinical and Vaccine Immunology: CVI
Heehyul Moon, Soonhee Roh, Yeon-Shim Lee, R Turner Goins
OBJECTIVES: The objective of this study is to investigate the factors associated with depressive symptoms and chronic illnesses in American Indians compared with White adults born in the post-World War II period, 1946 to 1964, and living in South Dakota. DESIGN: A cross-sectional design of American Indian and White adults aged 50 and older in South Dakota (Brookings, Vermillion, Sioux Falls, and all others areas of South Dakota) between January 2013 and May 2013 was used...
June 2016: Journal of Racial and Ethnic Health Disparities
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