Age differences in attitudes about older adults with dementia

2019 ◽  
Vol 41 (1) ◽  
pp. 121-136
Author(s):  
Christie Newton ◽  
Thomas Hadjistavropoulos ◽  
Natasha L. Gallant ◽  
Ying C. MacNab
Keyword(s):  
Older Adults ◽  
Significant Proportion ◽  
Care Giver ◽  
Middle Aged ◽  
Related Factors ◽  
Gender And Education ◽  
People With Dementia ◽  
Middle Aged Adults

AbstractDementia, a term that describes a variety of brain conditions marked by gradual, persistent and progressive cognitive decline, affects a significant proportion of older adults. Older adults with dementia are sometimes perceived less favourably than those without dementia. Furthermore, compared to persons without dementia, those with dementia are often perceived by others as having reduced personhood. This study was aimed at investigating whether differences in attitudes towards dementia and personhood perceptions vary as a function of age group, care-giver status, attitudes towards ageing, dementia knowledge, gender and education. In total 196 younger, middle-aged and older adults were recruited. Findings revealed that being a care-giver as well as having less ageist attitudes were predictive of being more comfortable around persons with dementia, having more knowledge about dementia and ascribing greater personhood to people with dementia. Those with more dementia knowledge (prior to the study) were less comfortable around people with dementia. Finally, when controlling this prior dementia knowledge, older adults were more comfortable around people with dementia compared to younger and middle-aged adults. Gender and education were not associated with any of the variables under study. Findings contribute to a better understanding of the role of age- and care-giver-related factors in the determination of attitudes towards dementia.

scholarly journals The Role of Delay of Care in Depression among US Middle-Aged and Older Adults during the COVID-19 Pandemic:: A Secondary Data Analysis (Preprint)

2021 ◽  
Author(s):  
Yan Luo
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Dental Care ◽  
Age Groups ◽  
Binary Logistic Regression ◽  
Middle Aged ◽  
Delay Of Care ◽  
Middle Aged Adults ◽  
Univariate Analyses

BACKGROUND The depression level among US adults significantly increased during the Coronavirus Disease 2019 (COVID-19) pandemic and age disparity in depression during the pandemic were reported in recent studies. Delay or avoidance of medical care is one of the collateral damages caused by the COVID-19 pandemic and it can lead to increased morbidity and mortality. OBJECTIVE The present study aims to assess the prevalence of depression and delay of care among US middle-aged adults and older adults during the pandemic, as well as investigate the role of delay of care in depression among those two age groups. METHODS This cross-sectional study used the 2020 Health and Retirement Study (HRS) COVID-19 Project (Early, Version 1.0) data. Univariate analyses, bivariate analyses, and binary logistic regression were applied. US adults older than 46 years old were included. Depression was measured by Composite International Diagnostic Interview Short Form (CIDI-SF). Delay of care were measured by four items: delay of surgery, delay of seeing a doctor, delay of dental care, and delay of other care. Univariate analyses, bivariate analyses, and binary logistic regression were conducted. RESULTS More than half of participants were older than 65 years old (58.23%) and 274 participants (8.75%) had depression during the pandemic. Delay of dental care was positively associated with depression among both middle-aged adults (OR=2.05, 95%CI=1.04-4.03, P<0.05) and older adults (OR=3.08, 95%CI=1.07-8.87, P<0.05). Delay of surgery was positively associated with depression among older adults (OR=3.69, 95%CI=1.06-12.90, P<0.05). Self-reported pain was positively related to depression among both age groups. Middle-aged adults who reported higher education level (some college of above) or worse self-reported health had higher likelihood to have depression. While perceived more loneliness was positively associated with depression among older adults, financial difficulty was positively associated with depression among middle-aged adults. CONCLUSIONS This study found that depression among middle-aged and older adults during the pandemic was also prevalent. The study highlighted the collateral damage of the COVID-19 pandemic by identifying the effect of delay of surgery and dental care on depression during the pandemic. Although surgery and dental care cannot be delivered by telehealth, telehealth services can still be provided to address patients’ concern on delay of surgery and dental care. Moreover, the implementation of tele-mental health services is also needed to address mental health symptoms among US middle-aged and older adults during the pandemic. Future research that uses more comprehensive CLINICALTRIAL N/A

scholarly journals The Mediating Role of Vision in the Relationship between Proprioception and Postural Control in Older Adults, as Compared to Teenagers and Younger and Middle-Aged Adults

Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 103
Author(s):  
Ainhoa Nieto-Guisado ◽  
Monica Solana-Tramunt ◽  
Adrià Marco-Ahulló ◽  
Marta Sevilla-Sánchez ◽  
Cristina Cabrejas ◽  
...  
Keyword(s):  
Older Adults ◽  
Postural Control ◽  
Protective Factor ◽  
Middle Aged ◽  
Mediating Role ◽  
Age Related ◽  
Eyes Open ◽  
Middle Aged Adults ◽  
The Relationship

The aim of this study is to analyze the mediating role of vision in the relationship between conscious lower limb proprioception (dominant knee) and bipedal postural control (with eyes open and closed) in older adults, as compared with teenagers, younger adults and middle-aged adults. Methods: The sample consisted of 119 healthy, physically active participants. Postural control was assessed using the bipedal Romberg test with participants’ eyes open and closed on a force platform. Proprioception was measured through the ability to reposition the knee at 45°, measured with the Goniometer Pro application’s goniometer. Results: The results showed an indirect relationship between proprioception and postural control with closed eyes in all age groups; however, vision did not mediate this relationship. Conclusions: Older adults outperformed only teenagers on the balance test. The group of older adults was the only one that did not display differences with regard to certain variables when the test was done with open or closed eyes. It seems that age does not influence performance on proprioception tests. These findings help us to optimize the design of training programs for older adults and suggest that physical exercise is a protective factor against age-related decline.

scholarly journals Neural correlates of exceptional memory ability in SuperAgers: A multimodal approach using FDG-PET, PIB-PET, and MRI

2019 ◽  
Author(s):  
Wyllians Vendramini Borelli ◽  
Eduardo Leal-Conceição ◽  
Michele Alberton Andrade ◽  
Nathalia Bianchini Esper ◽  
Paula Kopschina Feltes ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Aging ◽  
Fdg Pet ◽  
Amyloid Deposition ◽  
Cognitive Testing ◽  
Anterior Cingulate ◽  
Middle Aged ◽  
Subgenual Anterior Cingulate Cortex ◽  
Middle Aged Adults

AbstractIndividuals at 80 years of age or above with exceptional memory are considered SuperAgers (SA). A multimodal brain analysis of SA may provide biomarkers of successful cognitive aging. Herein, a molecular (PET-FDG, PET-PIB), functional (fMRI) and structural analysis (MRI) of SA was conducted. Ten SA, ten age-matched older adults (C80) and ten cognitively normal middle-aged adults underwent cognitive testing and neuroimaging examinations. The relationship between cognitive scores and cingulate areas and hippocampus were examined. The SA group showed increased FDG SUVr in the left subgenual Anterior Cingulate Cortex (sACC, p<0.005) as compared to that in the C80 group. Amyloid deposition was similar between SA and C80 in the described regions or overall areas (p>0.05). The SA group also presented decreased connectivity between left sACC and posterior cingulate (p<0.005) as compared to that of C80 group. These results support the key role of ACC in SA, even in the presence of amyloid deposition. It also suggests that sACC can be used as a potential memory biomarker in older adults.AbbreviationsBCa – Bias corrected accelerated: SA – SuperAgers: C50 – Middle-aged controls: C80 – Age-matched controls

scholarly journals Volunteering and Cognitive Health Among Middle-Aged and Older Adults: The Mediating Role of Friendship

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 415-416
Author(s):  
Changmin Peng ◽  
Jeffrey Burr ◽  
Sae Hwang Han ◽  
Kyungmin Kim ◽  
Jan Mutchler
Keyword(s):  
Older Adults ◽  
Social Networks ◽  
Episodic Memory ◽  
The United States ◽  
Middle Aged ◽  
Cognitive Health ◽  
Mediating Role ◽  
Middle Aged Adults

Abstract We lack knowledge about the underlying mechanisms that link formal volunteering to cognitive health. Friendships can be formed and improved through volunteering. Friendship is also beneficial to cognitive health as it often involves sharing information and promoting social interactions. This study investigated the potential mediating role of friendship (i.e., the number of close friends and the quality of friendships) for the association between volunteering (i.e., volunteering status and volunteering hours) and episodic memory among middle-aged and older adults in the United States, using data from the 2014 wave of the Health and Retirement Study (N = 6,029). Moderated mediation models were employed to test the mediation role of friendship for the association between volunteering and cognition for two age groups, middle-aged adults (age 50-64, n = 2,441) and older adults (age 65+, n = 3,588). The results showed that the quality of friendships, but not the number of close friends, mediated the relationship between volunteering (both status and hours) and episodic memory for middle-aged adults. However, mediation effects of friendship were not discovered for older adults. Our findings emphasize the important role of the quality of friendship in understanding the cognitive benefit of volunteering among middle-aged adults. For older adults, the nonsignificant effects of friendship may be consistent with socioemotional selectivity theory, suggesting that older adults may not use volunteering to expand their social networks. Instead, they may participate in volunteer work for other reasons in the context of shrinking social networks.

scholarly journals THE ROLE OF AGE AND EMOTION REGULATION IN CHOICE OF EMOTIONAL ACTIVITY IN EVERYDAY LIFE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S812-S813
Author(s):  
Majse Lind ◽  
Derek Isaacowitz
Keyword(s):  
Older Adults ◽  
Emotion Regulation ◽  
Everyday Life ◽  
Age Groups ◽  
Middle Aged ◽  
Negative Thoughts ◽  
Emotion Regulation Strategy ◽  
Regulation Strategies ◽  
Middle Aged Adults

Abstract Situation selection is a form of activity selection focused on the affective tone of potential choices. We investigated this type of emotional activity selection in everyday life during a longitudinal multi-burst study of middle-aged and older adults. In each burst, participants were asked to complete six phone-based assessments per day across five consecutive days, including a situation selection question about what type of emotional situation they would want to engage in at the time. They also reported on various emotion regulation strategies. Both age groups favored positive activities, but older adults preferred positive-deactivated activities whereas middle-aged adults favored positive-activated activities. Both middle-aged and older adults reported more attention towards positive relative to negative thoughts. Greater attention to positive thoughts was associated with the tendency to select more positive activities across age groups. Both age and emotion regulation strategy use may therefore contribute to choice of emotional activities in everyday life.

scholarly journals 318Earlier migration, better cognition? The role of urbanization in bridging the urban-rural cognition gaps

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Xin Ye ◽  
Dawei Zhu ◽  
Ping He
Keyword(s):  
Older Adults ◽  
Population Aging ◽  
Urban Migration ◽  
Middle Aged ◽  
Related Factors ◽  
Life Styles ◽  
Urban Rural ◽  
Rural To Urban Migration ◽  
Cognitive Gaps

Abstract Background With the process of population aging and urbanization, a vast amount of studies has confirmed the increasing urban-rural cognitive inequality. While less is known about the extent to which cognition gaps can be explained by birth inequality and urbanization. This study aimed to examine the role of urbanization and related factors in bridging the cognition gaps for middle-aged and older adults in China. Methods Based on the national representative China Health and Retirement Longitudinal Study (CHARLS) 2015, the Blinder-Oaxaca decomposition method was employed to decompose the cognition gaps. We quantified both the explained and unexplained parts of the cognition gaps, as well as the absolute and relative attribution of related factors. Results We found significant cognition gaps between urban and rural samples. Among the rural sample, the fully-urbanized and the semi-urbanized had better cognition than the non-urbanized. The fully-urbanized migrating at the age of 0-17 years old showed higher cognition scores than those migrating at 18+ years old. Besides urban-rural inequality and urbanization disparities, the cognition gaps could be largely explained by their socioeconomic status, and in part by their demographic background, physical functioning, life styles, social support and childhood status. Conclusions Urban-rural migration have a lasting effect in bridging the cognitive gaps in middle-aged and older adults, and those who migrating had more improvements in cognition than those migrating in adulthood. Public health actions targeting cognitive disparities could benefit from focusing on inequalities in urban-rural social and economic recourses. Key messages Rural-to-urban migration can bridge the urban-rural cognitive gaps in Chinese middle-aged and older adults. In the rural-to-urban migration groups, people migrating in childhood had more improvements in cognition than those migrating in adulthood.

scholarly journals Factors associated with sarcopenia screened by finger-circle test among middle-aged and older adults: a population-based multisite cross-sectional survey in Japan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daiki Watanabe ◽  
Tsukasa Yoshida ◽  
Takashi Nakagata ◽  
Naomi Sawada ◽  
Yosuke Yamada ◽  
...  
Keyword(s):  
Older Adults ◽  
Smoking Status ◽  
Multiple Logistic Regression Analysis ◽  
Population Based ◽  
Middle Aged ◽  
Cross Sectional ◽  
Factors Associated ◽  
Mail Surveys ◽  
Osaka Prefecture ◽  
Middle Aged Adults

AbstractBackgroundPrevious epidemiological studies have demonstrated the prevalence and relationship of various factors associated with sarcopenia in older adults; however, few have examined the status of sarcopenia in middle-aged adults. In this study, we aimed to, 1) evaluate the validity of the finger-circle test, which is potentially a useful screening tool for sarcopenia, and 2) determine the prevalence and factors associated with sarcopenia in middle-aged and older adults.MethodsWe conducted face-to-face surveys of 525 adults, who were aged 40–91 years and resided in Settsu City, Osaka Prefecture, Japan to evaluate the validity of finger-circle test. The finger-circle test evaluated calf circumference by referring to an illustration printed on the survey form. The area under the receiver operating characteristic curves (AUROC) was plotted to evaluate the validity of the finger-circle test for screening sarcopenia and compared to that evaluated by skeletal muscle mass index (SMI) measured using bioimpedance. We also conducted multisite population-based cross-sectional anonymous mail surveys of 9337 adults, who were aged 40–97 years and resided in Settsu and Hannan Cities, Osaka Prefecture, Japan. Participants were selected through stratified random sampling by sex and age in the elementary school zones of their respective cities. We performed multiple logistic regression analysis to explore associations between characteristics and prevalence of sarcopenia.ResultsSarcopenia, defined by SMI, was moderately predicted by a finger-circle test response showing that the subject’s calf was smaller than their finger-circle (AUROC: 0.729, < 65 years; 0.653, ≥65 years); such subjects were considered to have sarcopenia. In mail surveys, prevalence of sarcopenia screened by finger-circle test was higher in older subjects (approximately 16%) than in middle-aged subjects (approximately 8–9%). In a multiple regression model, the factors associated with sarcopenia were age, body mass index, smoking status, self-reported health, and number of meals in all the participants.ConclusionsSarcopenia, screened by the finger-circle test, was present not only among older adults but also among middle-aged adults. These results may provide useful indications for developing public health programs, not only for the prevention, but especially for the management of sarcopenia.Trial registrationUMIN000036880, registered prospectively May 29, 2019, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042027

Educational Differences in Self-Rated Health Trends Among Middle-Aged and Older Adults Living Alone, 1972–2018

2022 ◽  
pp. 089826432110527
Author(s):  
Esther O. Lamidi
Keyword(s):  
Older Adults ◽  
Living Arrangements ◽  
Living Arrangement ◽  
Living Alone ◽  
Middle Aged ◽  
Older Americans ◽  
Health Trends ◽  
Self Rated Health ◽  
Educational Differences ◽  
Middle Aged Adults

Objectives: This study examines educational differences in living alone and in self-rated health trends among middle-aged and older adults. Methods: We used logistic regression to analyze data from the 1972–2018 National Health Interview Survey ( n = 795,239 aged 40–64; n = 357,974 aged 65–84). Results: Between 1972–1974 and 2015–2018, living alone became more prevalent, particularly among men and at lower levels of education. Self-rated health trends varied by living arrangement and education. We found self-rated health declines among middle-aged adults having no college degree and living alone, but trends in self-rated health were mostly stable or even improved among middle-aged adults living with others. Among older adults, self-rated health improved over time, but for the least-educated older Americans living alone, the probability of reporting fair or poor health increased between 1972–1974 and 2015–2018. Discussion: The findings suggest growing disparities by social class, in living arrangements and in self-rated health.

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