scholarly journals Mitigating the Impact of Long-Term Construction on the Health of Older Adult Residents in New York City’s Chinatown

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 28-28
Author(s):  
Simona Kwon ◽  
Yi-Ling Tan ◽  
Jennifer Wong ◽  
Janet Pan
Keyword(s):  
Older Adults ◽  
New York ◽  
Limited English Proficiency ◽  
Construction Projects ◽  
Health Impact ◽  
Mitigation Strategies ◽  
Poverty Level ◽  
Modified Delphi ◽  
The Impact

Abstract Introduction: Recent proposed major construction projects in New York City’s Chinatown often last multiple years. Little is known about the health impact of construction on vulnerable populations such as older adults. In Chinatown, approximately 20% of residents are older adults, live below the poverty level (34%), have a disability (47%), and nearly half report limited English proficiency. Objectives: We are conducting a mixed methods study to describe possible health and psychosocial outcomes of construction on older adults in Chinatown. Methods: We used a community-engaged modified Delphi process to identify priority areas related to construction and older adults which included: 1) a scoping review of the health impact of long-term construction; 2) key informant interviews of academic experts; and 3) convened community stakeholder leaders to review key focus areas and evidence-informed, culturally-relevant mitigation strategies. Five priority topics were identified: 1) Construction site emissions; 2) Noise; 3) Outdoor nocturnal lighting; 4) Neighborhood changes; and 5) Relocation. Results: Long-term construction contributes to adverse effects of air pollution, noise, and changes in the environment, with exposure to particulate matter and unwanted noise associated with higher morbidity and mortality. Unsafe sidewalk due to construction increase the risk of falling, the leading cause of death among NYC seniors. Construction-related stressors may isolate older adults from vital services and social networks. Conclusion: Long-term construction poses serious health implications for older adults. Stakeholders should adopt a community-engaged approach and identify meaningful community priorities to inform practical solutions to mitigate the impact of construction on vulnerable Chinatown older adults.

scholarly journals 19455 The impact of long-term construction on the health of older adults in New York City™s Chinatown

2021 ◽  
pp. 1-2
Author(s):  
Janet Pan ◽  
Yi-Ling Tan ◽  
Jennifer Wong ◽  
Stella Chong ◽  
Isabel Ching ◽  
...  
Keyword(s):  
Older Adults ◽  
New York ◽  
New York City ◽  
York City ◽  
The Impact

scholarly journals The Impact of Function Focused Care From Acute Care to Home Care and Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 629-629
Author(s):  
Silke Metzelthin ◽  
Sandra Zwakhalen ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
The Netherlands ◽  
Home Care ◽  
Acute Care ◽  
Long Term Care ◽  
Functional Decline ◽  
Term Care ◽  
The Us ◽  
The Impact

Abstract Functional decline in older adults often lead towards acute or long-term care. In practice, caregivers often focus on completion of care tasks and of prevention of injuries from falls. This task based, safety approach inadvertently results in fewer opportunities for older adults to be actively involved in activities. Further deconditioning and functional decline are common consequences of this inactivity. To prevent or postpone these consequences Function Focused Care (FFC) was developed meaning that caregivers adapt their level of assistance to the capabilities of older adults and stimulate them to do as much as possible by themselves. FFC was first implemented in institutionalized long-term care in the US, but has spread rapidly to other settings (e.g. acute care), target groups (e.g. people with dementia) and countries (e.g. the Netherlands). During this symposium, four presenters from the US and the Netherlands talk about the impact of FFC. The first presentation is about the results of a stepped wedge cluster trial showing a tendency to improve activities of daily living and mobility. The second presentation is about a FFC training program. FFC was feasible to implement in home care and professionals experienced positive changes in knowledge, attitude, skills and support. The next presenter reports about significant improvements regarding time spent in physical activity and a decrease in resistiveness to care in a cluster randomized controlled trial among nursing home residents with dementia. The fourth speaker presents the content and first results of a training program to implement FFC in nursing homes. Nursing Care of Older Adults Interest Group Sponsored Symposium

Contrasting Perspectives Regarding Climate Risks and Adaptation Strategies in the New York Metropolitan Area after Superstorm Sandy

2014 ◽  
Vol 01 (01) ◽  
pp. 1450005 ◽  
Author(s):  
Stephanie Miller ◽  
Griffin Kidd ◽  
Franco Montalto ◽  
Patrick Gurian ◽  
Cortney Worrall ◽  
...  
Keyword(s):  
Climate Change ◽  
New York ◽  
Adaptation Strategies ◽  
Mitigation Strategies ◽  
Strong Impact ◽  
Structured Interviews ◽  
Superstorm Sandy ◽  
Climate Risks ◽  
York Metropolitan Area

The purpose of this study was to examine stakeholder perceptions of climate change and local adaptation strategies in the New York City area. A side-by-side comparison of expert and resident opinions provided a clear picture of the region's climate change attitude in the year following Superstorm Sandy. Semi-structured interviews with regional environmental experts provided material for a structured survey, which was then distributed to 100 experts and 250 residents in coastal NY and northern NJ counties. In the survey both stakeholder groups were asked to choose the top three climate threats to the NYC region and rate adaptation and mitigation strategies on a 1–5 Likert scale regarding their ability to protect the region and their cost-effectiveness. Results show that experts and residents agree that sea level rise, coastal flooding and storm surge, and an increased frequency and intensity of extreme events pose the greatest threats to NYC over the next 25 years. While both groups showed a preference for long-term planning over immediate action, experts and residents could not agree on which specific strategies would best serve the region. The aftermath of Superstorm Sandy had a strong impact on both the expert and resident opinions and efforts to monitor stakeholder opinions continue.

Determining the Long-Term Effectiveness of a Group-Based Physical Activity Program

2018 ◽  
Vol 20 (3) ◽  
pp. 401-408
Author(s):  
Anamica Batra ◽  
Richard C. Palmer ◽  
Elena Bastida ◽  
H. Virginia McCoy ◽  
Hafiz M. R. Khan
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Healthy Aging ◽  
Population Level ◽  
The United States ◽  
South Florida ◽  
Community Based ◽  
Evidence Based Programs ◽  
The Impact

Objective. In 2015, only half (48%) of older adults in the United States (≥60 years) reported engaging in any kind of physical activity. Few studies examine the impact of evidence-based programs when adopted in community-based settings. The purpose of this study is to assess the effectiveness of EnhanceFitness (EF) upto 12-months. Method. EF was offered to older adults in South Florida. A total of 222 EF classes were offered between October 2008 and December 2014. Program consisted of a 1-hour session held three times a week. Even though participation was required for 4 months, 1,295 participants continued the program for at least 1 year. Results. All participants showed significant improvement in outcome measures. A mean change of 1.5, 1.7, and 1.9 was seen in number of chair stands at 4, 8, and 12 months (p < .001), respectively. The number of arm curls performed improved from 16.8 at baseline to 18.8, 18.8, and 19.2 at 4-, 8-, and 12-months, respectively. Participants improved their up-and-go time by decreasing from 9.1 (baseline) to 8.7 (4 months) to 8.6 (12 months; p = .001). Discussion. Randomized controlled trials are commonly used to determine the efficacy of an intervention. These interventions when disseminated at the population level have the potential to benefit large masses. EF is currently offered at more than 700 locations. This tremendous success of EF brings attention to an important question of continuous monitoring of these programs to ensure program consistency and intended outcomes. The model used by the Healthy Aging Regional Collaborative could be replicated by other communities.

scholarly journals Beyond Housing: Perceptions of Indirect Displacement, Displacement Risk, and Aging Precarity as Challenges to Aging in Place in Gentrifying Cities

2019 ◽  
Vol 16 (23) ◽  
pp. 4633 ◽  
Author(s):  
H. Shellae Versey ◽  
Serene Murad ◽  
Paul Willems ◽  
Mubarak Sanni
Keyword(s):  
Older Adults ◽  
New York ◽  
Aging In Place ◽  
Neighborhood Change ◽  
Age In Place ◽  
Unique Character ◽  
Housing Costs ◽  
The Everyday ◽  
The Impact ◽  
Cultural Shifts

Neighborhoods within age-friendly cities and communities are an important factor in shaping the everyday lives of older adults. Yet, less is known about how neighborhoods experiencing change influence the ability to age in place. One type of rapid neighborhood change occurring across major cities nationally and globally is gentrification, a process whereby the culture of an existing neighborhood changes through the influx of more affluent residents and businesses. Few studies have considered the impact of gentrification on older adults, who are among the most vulnerable to economic and social pressures that often accompany gentrification. The current study explores one consequence of gentrification, indirect displacement. While gentrification-induced displacement can refer to the physical (e.g., direct) displacement of residents moving out of a neighborhood due to rising housing costs, it also references the replacement of the unique character and social identity of a neighborhood (e.g., indirect displacement). We examine perceptions of the latter, characterized by perceived cultural shifts and housing concerns among adults aging in place in a gentrifying neighborhood in New York City. The implications of indirect displacement for displacement risk and aging precarity are discussed as potential threats to aging in place in age-friendly cities.

Assessing the impact of risk allocation on sustainable energy innovation (SEI)

2016 ◽  
Vol 9 (2) ◽  
pp. 259-281 ◽  
Author(s):  
Sulafa M Badi ◽  
Stephen Pryke
Keyword(s):  
Construction Projects ◽  
Sustainable Energy ◽  
Empirical Work ◽  
Energy Performance ◽  
Risk Allocation ◽  
Content Type ◽  
Study Approach ◽  
Energy Innovation ◽  
The Impact

Purpose – The allocation of risk among project participants is an important determinant of innovation success in construction projects. The purpose of this paper is to examine the capacity of risk allocation to encourage the implementation of environmental innovation, particularly sustainable energy innovation (SEI), within the private finance initiative (PFI) project delivery model. Design/methodology/approach – A four-case qualitative research methodology is adopted within the context of the UK government’s building schools for the future programme. Findings – The findings identify that SEIs are encouraged on the innovative projects by the perceived clarity, appropriateness, and manageability of the risks associated with the project’s energy performance on the PFI contract. The main SEIs were largely developed as strategies to manage long-term energy performance risks allocated to private sector actors and safeguard their long-term commitment to the project. However, the findings indicate that excessive perceived innovation-related risks, particularly capital cost risk, may restrict further SEIs to be implemented. Research limitations/implications – The qualitative case study approach adopted may limit the generalisability of the findings. Practical implications – The study and provides practical guidance to policymakers and project managers in developing strategies to support the implementation of SEI in PFI projects. Originality/value – The study attends to a significant gap in knowledge as there is a lack of conceptual and empirical work on managing innovative processes for sustainable energy in PFI projects.

Acceptance and Feasibility of Seated Elliptical Pedaling to Replace Sedentary Behavior in Older Adults

2020 ◽  
Vol 28 (6) ◽  
pp. 844-853
Author(s):  
Nicholas L. Lerma ◽  
Chi C. Cho ◽  
Ann M. Swartz ◽  
Hotaka Maeda ◽  
Young Cho ◽  
...  
Keyword(s):  
Older Adults ◽  
Light Intensity ◽  
Health Outcomes ◽  
Sedentary Behavior ◽  
Activity Monitor ◽  
Group Differences ◽  
Significant Group ◽  
Significant Difference ◽  
The Impact

The purpose of this study was to explore the feasibility and acceptability of a seated pedaling device to reduce sedentary behavior (SB) in the homes of older adults. Methods: Each participant (N = 20) was outfitted with an activity monitor and seated pedaling device in the home for 7 days and randomly assigned to one of four light-intensity pedaling groups (15, 30, 45, and 60 min/day). Results: There was 100% adherence in all groups and significant group differences in the minutes pedaled per day (p < .001), with no significant difference in the total pedaling days completed (p = .241). The 15-, 30-, 45-, and 60-min groups experienced a 4.0%, 5.4%, 10.6%, and 11.3% reduction in SB on the days pedaled, respectively. Conclusion: Clinically relevant reductions in SB time were achievable in this 1-week trial. Long-term adherence and the impact of replacing SB with seated light activities on geriatric-relevant health outcomes should be investigated.

scholarly journals Years of life lost due to the psychosocial consequences of COVID-19 mitigation strategies based on Swiss data

2020 ◽  
Vol 63 (1) ◽  
Author(s):  
Dominik A. Moser ◽  
Jennifer Glaus ◽  
Sophia Frangou ◽  
Daniel S. Schechter
Keyword(s):  
Public Health ◽  
Significant Risk ◽  
Social Contact ◽  
Mitigation Strategies ◽  
Mitigation Measures ◽  
Years Of Life Lost ◽  
Psychosocial Consequence ◽  
Psychosocial Consequences ◽  
The Impact

Abstract Background. The pandemic caused by coronavirus disease 2019 (COVID-19) has forced governments to implement strict social mitigation strategies to reduce the morbidity and mortality from acute infections. These strategies, however, carry a significant risk for mental health, which can lead to increased short-term and long-term mortality and is currently not included in modeling the impact of the pandemic. Methods. We used years of life lost (YLL) as the main outcome measure, applied to Switzerland as an example. We focused on suicide, depression, alcohol use disorder, childhood trauma due to domestic violence, changes in marital status, and social isolation, as these are known to increase YLL in the context of imposed restriction in social contact and freedom of movement. We stipulated a minimum duration of mitigation of 3 months based on current public health plans. Results. The study projects that the average person would suffer 0.205 YLL due to psychosocial consequence of COVID-19 mitigation measures. However, this loss would be entirely borne by 2.1% of the population, who will suffer an average of 9.79 YLL. Conclusions. The results presented here are likely to underestimate the true impact of the mitigation strategies on YLL. However, they highlight the need for public health models to expand their scope in order to provide better estimates of the risks and benefits of mitigation.

scholarly journals “We just get paid for 12 hours a day, but we work 24”: home health aide restrictions and work related stress

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jillian L. Shotwell ◽  
Eve Wool ◽  
Andrzej Kozikowski ◽  
Renee Pekmezaris ◽  
Jill Slaboda ◽  
...  
Keyword(s):  
New York ◽  
Long Term Care ◽  
Care Program ◽  
Home Health ◽  
Term Care ◽  
Home Based ◽  
Primary Care Program ◽  
Related Stress ◽  
The Impact

Abstract Background Home-bound patients in New York State requiring long-term care services have seen significant changes to their benefits due to turmoil in the Managed Long Term Care (MLTC) market. While there has been research conducted regarding the effect of MLTC challenges on beneficiaries, the impact of MLTC regulatory changes on home health aides has not been explored. Methods Qualitative interviews were conducted with formal caregivers, defined as paid home health aides (HHAs) (n = 13) caring for patients in a home-based primary care program in the New York City metropolitan area. HHAs were asked about their satisfaction with the home based primary care program, their own job satisfaction, and whether HHA restrictions affect their work in any way. Interviews were audio-recorded, transcribed, and analyzed. Results Two main themes emerged: (1) Pay, benefits and hours worked and (2) Concerns about patient well-being afterhours. HHAs are working more hours than they are compensated for, experience wage stagnation and loss of benefits, and experience stress related to leaving frail clients alone after their shifts end. Conclusions HHAs experience significant job-related stress when caring for frail elderly patients at home, which may have implications for both patient care and HHA turnover. As government bodies contemplate new policy directions for long-term care programs which rely on HHAs the impact of these changes on this vulnerable workforce must be considered.

scholarly journals Violence While in Utero: The Impact of Assaults during Pregnancy on Birth Outcomes

2020 ◽  
pp. 1-46
Author(s):  
Janet Currie ◽  
Michael Mueller-Smith ◽  
Maya Rossin-Slater
Keyword(s):  
New York ◽  
Birth Outcomes ◽  
Infant Health ◽  
In Utero ◽  
Adverse Birth Outcomes ◽  
Disadvantaged Women ◽  
The Us ◽  
Birth Records ◽  
The Impact

We study the effects of prenatal exposure to violent crime on infant health, using New York City crime records linked to mothers' addresses in birth records data. We address endogeneity of assault exposure with three strategies and find that in utero assault exposure significantly increases the incidence of adverse birth outcomes. We calculate that the annual social cost of assault during pregnancy in the US is more than $3.8 billion. Since infant health predicts long-term wellbeing and disadvantaged women are disproportionately likely to be domestic abuse victims, violence in utero may be an important channel for intergenerational transmission of inequality.

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