scholarly journals Diverse, Culturally Rich Approaches to Family Care in the United States

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 269-269
Author(s):  
Lauren Parker ◽  
Manka Nkimbeng
Keyword(s):  
United States ◽  
Older Adults ◽  
Family Care ◽  
The United States ◽  
Minority Populations ◽  
Culturally Tailored ◽  
The Us ◽  
Ethnic Minority Populations ◽  
Definition Of ◽  
Racial Ethnic

Abstract Despite the projected rise in the diversity of caregivers and caregiving in the US, the health system is not prepared to accommodate this growth. Interventions and supports often are not adequately tailored to meet the cultural needs of older adults. Additionally, the limited interventions available for racial/ethnic minority populations frequently fail to capture and report culturally tailored perspectives. Therefore, the purpose of this presentation is to describe how culture influences caregiving in the US. Specifically, it will: (1) provide a contemporary definition of culture; (2) identify cultural domains that impact caregiving; (3) offer examples of how caregiving is influenced by different cultural/demographic backgrounds; (4) provide examples of culturally tailored caregiving programs, and (5) discuss how to approach cultural needs that may not be addressed by current interventions.

scholarly journals A Comparison Study of Vitamin D Deficiency among Older Adults in China and the United States

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Jia Wei ◽  
Anna Zhu ◽  
John S. Ji
Keyword(s):  
United States ◽  
Older Adults ◽  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Ethnic Minorities ◽  
The United States ◽  
Health Concern ◽  
Lower Serum ◽  
Severe Deficiency ◽  
The Us

AbstractVitamin D deficiency is a common health concern worldwide. We aim to compare the prevalence of vitamin D deficiency among older adults (65+) in China and the United States (US). We used data from the 2011 wave of Chinese Longitudinal Healthy Longevity Survey (CLHLS) in China (n = 2180), and 2011–2014 National Health and Nutrition Examination Survey (NHANES) in the US (n = 2283). Serum 25-hydroxyvitamin D [25(OH)D] was measured and a level of under 30/50 nmol/L was defined as vitamin D severe deficiency/deficiency. Risk factors of vitamin D deficiency were examined by multivariate regression models. We found that the mean 25(OH)D concentration was lower in China than in the US (45.1 vs. 83.5 nmol/L), with Chinese elderly lower than American elderly for every age group. 70.3% in China and 17.4% in the US were considered as vitamin D deficiency (30.6% and 3.4% were considered as severe deficiency). Older age, females, ethnic minorities, higher household income, self-rated “very bad” health, and never drinkers, were statistically significant in predicting lower serum 25(OH)D levels in China. In the US, males, ethnic minorities, lower income, self-rated “very bad” health, physically inactive, overweight, and obese were related to lower serum 25(OH)D levels. Our findings suggest that different interventional strategies are needed to improve vitamin D deficiency and its associated negative health outcomes in China and the US.

Treatment of Depressive Disorders and Comorbidity in Ethnic Minority Groups

2014 ◽  
Author(s):  
Huynh-Nhu Le ◽  
Rhonda C. Boyd ◽  
Ma. Asunción Lara
Keyword(s):  
United States ◽  
Ethnic Minority ◽  
Depressive Disorders ◽  
Minority Groups ◽  
Treatment Guidelines ◽  
Adult Population ◽  
The United States ◽  
Minority Populations ◽  
Ethnic Minority Groups ◽  
Ethnic Minority Populations

Depression is comorbid with anxiety, substance use, and medical conditions in majority and ethnic minority populations. Despite recognition of the growing diversity of racial and ethnic minority groups in the United States, there are significant mental health disparities among them. This chapter reviews literature on interventions of depressive disorders and other mental and medical health conditions in ethnic minority groups. It focuses on (1) the adult population, (1) treatment interventions, and (3) ethnic minority groups in the United States. This review illustrates that research on treatment of depression comorbidity is quite limited for ethnic minorities. Therefore this chapter also discusses how cultural adaptations of evidence-based interventions for major depression can further inform the extent to which interventions for depression comorbidity can be adapted for ethnic minority populations. Research gaps, recommendations, future directions, and treatment guidelines for practitioners related to depression comorbidity and ethnic minority groups are discussed.

scholarly journals Dementia Care in Diverse Older Adults in the U.S. Deep South and the Rest of the United States

2021 ◽  
pp. 1-13
Author(s):  
Maria Pisu ◽  
Roy C. Martin ◽  
Liang Shan ◽  
Giovanna Pilonieta ◽  
Richard E. Kennedy ◽  
...  
Keyword(s):  
United States ◽  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Drug Use ◽  
Ethnic Groups ◽  
The United States ◽  
Deep South ◽  
Racial Ethnic ◽  
The U.S

Background: Use of specialists and recommended drugs has beneficial effects for older adults living with Alzheimer’s disease and related dementia (ADRD). Gaps in care may exist for minorities, e.g., Blacks, and especially in the United States (U.S.) Deep South (DS), a poor U.S. region with rising ADRD cases and minority overrepresentation. Currently, we have little understanding of ADRD care utilization in diverse populations in this region and elsewhere in the U.S. (non-DS), and the factors that adversely impact it. Objective: To examine utilization of specialists and ADRD drugs (outcomes) in racial/ethnic groups of older adults with ADRD and the personal or context-level factors affecting these outcomes in DS and non-DS. Methods: We obtained outcomes and personal-level covariates from claims for 127,512 Medicare beneficiaries with ADRD in 2013–2015, and combined county-level data in exploratory factor analysis to define context-level covariates. Adjusted analyses tested significant association of outcomes with Black/White race and other factors in DS and non-DS. Results: Across racial/ethnic groups, 33%–43% in DS and 43%–50% in non-DS used specialists; 47%–55% in DS and 41%–48% in non-DS used ADRD drugs. In adjusted analyses, differences between Blacks and Whites were not significant. Vascular dementia, comorbidities, poverty, and context-level factor “Availability of Medical Resources” were associated with specialist use; Alzheimer’s disease and senile dementia, comorbidities, and specialist use were associated with drug use. In non-DS only, other individual, context-level covariates were associated with the outcomes. Conclusion: We did not observe significant gaps in ADRD care in DS and non-DS; however, research should further examine determinants of low specialist and drug use in these regions.

Care Falls Apart

2018 ◽  
pp. 176-200
Author(s):  
Elana D. Buch
Keyword(s):  
United States ◽  
Older Adults ◽  
Public Policy ◽  
Home Care ◽  
Job Loss ◽  
Family Care ◽  
The United States ◽  
High Turnover ◽  
Care Workers

Across the United States, home care faces perpetual worker shortages and endemically high turnover levels estimated at between 60% and 90% per year. This chapter examines cases of turnover in rich ethnographic detail, arguing that the inability of agency and public policy to recognize the interdependence of older adults, workers, and their families contributes to this startling statistic. In observed cases of turnover; job loss stemmed from workers’ inabilities to sustain both their own households and those of their older adults without blurring the boundaries between them. Workers lost jobs because of conflicts with family care and because they engaged in unsanctioned reciprocities with clients. Current attempts to protect vulnerable older adults from possible exploitation actually exacerbate the exploitation of care workers and increase instability in home care.

The Evolving Workforce in Rheumatology: The Effect of Gender

2021 ◽  
pp. jrheum.210082
Author(s):  
Grace C. Wright
Keyword(s):  
United States ◽  
The United States ◽  
Minority Populations ◽  
Demographic Shift ◽  
The Past ◽  
The Us

Population shifts in the workforce have been noted for the past few decades. In the United States, the number of people aged 65 and older is expected to double, reaching almost a quarter of the population.1 By 2045, the US is expected to experience a demographic shift, with an increase in the percentage of minority populations to greater than 50%.

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