The Impact Of Oral Health On Psychological Distress Among Older Adults In California

Abstract In California, the population of adults ages 65 and older is projected to increase from 11% in 2010 to 19% in 2030. The aging of the population requires modifications in public health to ensure that people are not only living longer, but also healthier lives. Oral health is an important, but often overlooked factor that affects the overall health of older adults. Poor oral health increases the risk of physical comorbidities, decreases chewing performance, limits food choices, and exacerbates weight loss. Furthermore, poor oral health disrupts social health via decreases in verbal communication and facial expressions, such as smiling. This study examines the effects of oral health, assessed by tooth condition, on psychological distress among adults ages 65 and older in California. The study uses the 2019 California Health Interview Survey (CHIS), an annual survey of a representative sample of the state’s residential, noninstitutionalized population. Logistic regression models are used to determine the association between tooth condition on psychological distress controlling for gender, race, and elderly poverty index. Worsening tooth condition increases the odds of having psychological distress with lower odds among individuals 85+, and higher odds among women, and non-Hispanic whites compared to Hispanics. Public health programs and interventions are required in California to prevent and mitigate the impacts of poor oral health on psychological distress among the increasing and diverse older adult population.

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Social and Behavioral Factors, Oral Health, and Dental Care Utilization

Innovation in Aging ◽

10.1093/geroni/igaa057.2899 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 799-800

Author(s):

Bei Wu ◽

Stephen Shuman ◽

Elisa Ghezzi

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Oral Health ◽

Health Outcomes ◽

Dental Care ◽

Care Utilization ◽

Behavioral Factors ◽

Dental Care Utilization ◽

The Impact ◽

The U.S

Abstract Oral health status and dental care utilization is strongly associated with social and behavioral factors and health outcomes. The five papers in this symposium address how several of these factors affect oral health and dental care among diverse groups of older adults. Using data from the Health and Retirement Study, the first paper examined the impact of early childhood disadvantages on oral health in later life among adults age 51 and above in the U.S. The second paper used large-scale epidemiological data that addressed the relationship between acculturation and subsequent oral health problems. It also tested the moderating role of neighborhood disorder in such a relationship among older Chinese Americans. The third paper demonstrated the importance of examining different pathways among foreign-born and native-born Chinese older adults with regard to offspring’s support on their oral health outcomes. While increasing evidence shows that cognitive function is associated with oral health, limited studies have been conducted to examine the impact of cognitive impairment, e.g., Alzheimer’s Disease (AD) and related dementias (RD), on dental care utilization and costs in older adults. The fourth paper aimed to address this knowledge gap. Results showed that AD and RD had different impacts on different types of dental care utilization and costs. The fifth paper further displayed that individuals with cognitive impairment face a significant challenge in handling dental-related medications. This symposium provides policy and clinical implications on improving oral health and dental care utilization among older adults in the U.S. Oral Health Interest Group Sponsored Symposium.

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Impact assessment of the public health product tax in Hungary

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1231 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

L Zámbó ◽

M Bakacs ◽

É Illés ◽

A Varga ◽

E Sarkadi Nagy ◽

...

Keyword(s):

Public Health ◽

Health Communication ◽

Energy Content ◽

Adult Population ◽

Food Choices ◽

Development Project ◽

Economic Effects ◽

Health Product ◽

The Law ◽

The Impact

Abstract Many countries apply fiscal policies to promote healthy diets to reduce the risk factors of NCDs. In 2011, a public health product tax (PHPT) was introduced in Hungary, taxing non-staple food products that carry proven health risks when consumed. The objectives of PHPT were to promote healthier eating habits by increasing the availability of healthy choices; to encourage reformulation; and to increase revenues for public health. With the purpose of evaluating the social and economic effects of PHPT, impact assessments (IAs) were conducted in 2012, 2014, and in 2018. The IA in 2018 was conducted within the framework of an EU-cofunded development project. To measure the awareness of the population on the law; to assess the population's attitude towards PHPT; to map the consumption patterns and to examine the major factors influencing food choices were fundamental parts of the IAs. We aim to present the findings of the latest IA and compare them to the results of the previous studies. Population surveys with questionnaires including the same questions were applied in the three assessments, hence changes during the 6 years could be detected. A sample of the adult population was involved in form of personal interviews in each IA. Based on the results, the awareness of PHPT was less (66%) in 2018 than in 2012 (72%). The adult population's consumption of the taxed products increased in all categories between 2012 and 2018 (except for salty condiments). Sociodemographic factors and awareness of the law correlated with the consumption of certain PHPT products. Taste was the primary determinant of food choice both in 2012 and 2018. The role of the price and the energy content in food choices were decreased significantly by 2018. A higher proportion of people identified the aims of PHPT correctly and agreed with them in 2018. The results draw attention to the importance of further interventions and the need of targeted health communication. Key messages The impact of the PHPT should continue to be monitored and evaluated. To achieve the aims of PHPT in the long term, it is needed to use more effective health communication, furthermore harmonized intersectoral actions should be also implied to promote healthy diet.

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Strategies Older New Zealanders Use to Participate in Day-To-Day Occupations

British Journal of Occupational Therapy ◽

10.4276/030802211x13204135680820 ◽

2011 ◽

Vol 74 (11) ◽

pp. 509-516 ◽

Cited By ~ 4

Author(s):

Clare Hocking ◽

Juanita Murphy ◽

Kirk Reed

Keyword(s):

Public Health ◽

Physical Activity ◽

Older Adults ◽

New Zealand ◽

Older People ◽

Exploratory Study ◽

Occupational Therapists ◽

Falls Prevention ◽

Public Health Messages ◽

The Impact

Aim: This exploratory study aimed to uncover the strategies that older adults employ to ameliorate the impact of impairments and barriers to participation. Method: Eight participants were interviewed in their own homes, in a town or city in New Zealand. Findings: Inductive analysis of data revealed four main categories of strategies: strategies to keep safe, to recruit and accept help, to meet social and biological needs (nutritional and medical), and to conserve financial, material and bodily resources. Discussion: The study supports some previous findings of strategies used by older people, and demonstrates that enquiring into the strategies that older people devise and adopt into their own lives is a productive line of inquiry. The strategies described differ from those that occupational therapists recommend, and do not incorporate public health messages about the benefits of physical activity or recommendations about falls prevention. Conclusion: The findings suggest that asking older clients about the strategies that they use will uncover valuable information for therapists giving advice or issuing equipment to help older adults to manage in the community.

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Marijuana use among older adults in the U.S.A.: user characteristics, patterns of use, and implications for intervention

International Psychogeriatrics ◽

10.1017/s1041610210002176 ◽

2010 ◽

Vol 23 (5) ◽

pp. 732-741 ◽

Cited By ~ 31

Author(s):

Diana M. DiNitto ◽

Namkee G. Choi

Keyword(s):

Older Adults ◽

Psychological Distress ◽

Social Service ◽

Illicit Drugs ◽

Service Providers ◽

Adult Population ◽

Marijuana Use ◽

Well Being ◽

Epidemiological Studies ◽

Social Service Providers

ABSTRACTBackground: Epidemiological studies show that the number of older adults using marijuana is increasing. This study aimed to determine the correlates and patterns of marijuana use among older adults that might help health and social service providers better assist this group.Methods: Data are from the 2008 National Survey on Drug Use and Health conducted by the Substance Abuse and Mental Health Services Administration in the U.S.A. The sample consisted of 5,325 adults aged 50 years and older.Results: Of the sample, 2.8% were past-year marijuana users. Of them, 23% had used marijuana on at least half the days of the year. Past-year users were more likely to be younger (50–64 years old), black, and not married, and they had significantly higher psychological distress scores, but they did not rate their health as poorer than others in the sample, nor did they attribute many problems, including psychological problems, as being related to their marijuana use. Nevertheless, past-year users present a high-risk profile because, in addition to frequent marijuana use, they also are more likely to smoke cigarettes, engage in binge drinking, and use other illicit drugs.Conclusions: Health and social service providers should be alert to the small number of routine marijuana users among the younger members of the older adult population, especially those suffering significant psychological distress, so that these individuals can be encouraged to utilize services that will help alleviate this distress and promote a healthier lifestyle and increase general well being.

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Restoration of oral health as one of the important factors improving the quality of life

SUCHASNA STOMATOLOHIYA ◽

10.33295/1992-576x-2021-1-78 ◽

2021 ◽

Vol 105 (1) ◽

pp. 78-81

Author(s):

N. Zhachko ◽

◽

T. Nespriad’ko-Monborgne ◽

I. Skrypnyk ◽

M. Zhachko ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Periodontal Disease ◽

Dental Health ◽

Adult Population ◽

Communication Process ◽

Complete Analysis ◽

Comprehensive Treatment ◽

The Impact

Summary: The search for and development of methods for determining the quality of life is an urgent problem of foreign and domestic medicine, and the state of dental health plays a very important role. An important role in human communication plays the maxillofacial area. Therefore, the most important areas and defects associated with the communication process – defects in the frontal area, smile, change of pronunciation, spitting during the conversation – all these signs accompany a number of anomalous processes. Objective: to assess the impact of dental status on the quality of life of the adult population in the presence of the disease periodontal disease in combination with musculoskeletal dysfunction in patients with dental anomalies and deformities. Materials and methods. To study this goal, a survey of 283 patients who applied was conducte with complaints of aesthetic defect of the dentition, combined with the presence of joint pain and periodontal disease of varying severity. Results. A complete analysis of factors that significantly affected the quality of life of patients with a number of diseases was obtained oral cavity. Conclusions. Deficiencies related to oral health reduce the quality of life of our patients, and the treatment significantly changes its quality depending on age, sex and method. But for the best results positive changes in the quality of life of the patient dentists can expect only by conducting a comprehensive treatment. Key words: quality of life, dental health correction.

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Communicating with the Older Adult Cancer Patient

Psycho-Oncology ◽

10.1093/med/9780190097653.003.0085 ◽

2021 ◽

pp. 678-684

Author(s):

Patricia A. Parker ◽

Smita C. Banerjee ◽

Beatriz Korc-Grodzicki

Keyword(s):

Risk Factors ◽

Older Adults ◽

Cognitive Impairment ◽

Psychological Distress ◽

Cancer Patients ◽

Older Adult ◽

Adult Population ◽

Healthcare Providers ◽

Multiple Morbidity ◽

Older Adult Population

The older adult population continues to increase. Among all known risk factors for developing cancer, the most important is growing old. Thus, caring for older adults with cancer is of increasing importance. This chapter describes important considerations involved in communicating with cancer patients including sensory impairment, cognitive impairment, multiple morbidity, polypharmacy, and psychological distress. It also describes how stereotyping and ageism affect communication with older adults with cancer. Finally, the chapter discusses ways to facilitate communication with older adult cancer patients and their families and provides an example of a training program that was created specifically to enhance communication between healthcare providers and older adult cancer patients and their families.

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Management of bio-psycho-social frailty to reduce hospital use and improve survival of older adults

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.605 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

G Liotta ◽

N Accarino ◽

S Orlando ◽

S Gentili ◽

E Terracciano ◽

...

Keyword(s):

Public Health ◽

Older Adults ◽

Health Outcomes ◽

Social Isolation ◽

Hospital Care ◽

Admission Rate ◽

Term Care ◽

Hospital Admission Rate ◽

Starting Point ◽

The Impact

Abstract Background Ageing of population is associated to the increase of care demand. Many health systems are still centered on hospital care, that sometime is not appropriate. The shift from hospital to community care requires a new model of service delivery. Aim of this paper is to assess the impact of a community service based on the assessment of frailty, on mortality and use of hospital care by older adults. Methods A cohort made up by 8,592 over-75 subjects (67.1% female, mean age 84.5; SD ± 5.29) has been assessed once a year for bio-psycho-social frailty by the administration of the Short Functional Geriatric Evaluation questionnaire. The enrolled subjects were involved in a Community-based pro-Active Monitoring Program which provides interventions aimed at reducing social isolation. Mortality, use of hospital care and use of residential long-term care have been recorded during the follow up and separate and cumulative incidence rate was measured. Results The sample was stratified in Robust (37.5%), Pre-frail (24.0%), Frail, (29.5%) and Very Frail (9.1%) individuals. Mortality, Hospital admission rate and Residential LTC admission rate were higher in the very frails than among the other groups. However, according to social isolation, the integrated subjects at the baseline assessment, showed the highest incidence of negative events: 29.5%, 20.8%, 21.0%, .and 20.8% for integrated, mild isolated, moderate isolated and severely isolated individuals respectively (p < 0.001). The logistic regression analysis, adjusted for age, gender and level of frailty, confirmed the protective role of reducing social isolation among isolated individuals compared with integrated ones (OR: 0.729; CL95% 0.673-0.720). Conclusions The assessment of bio-psycho-social frailty could be the starting point for effective intervention at community level, like the program mentioned above. Management of frailty may lead to an improvement of public health outcomes. Key messages Intervention dealing with social isolation are able to revert the increase of mortality related to the lack of social resources. Management of frailty may lead to an improvement of public health outcomes.

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Impact of Seniors Centers on oral health-related quality of life of older adults

Revista de Saúde Pública ◽

10.11606/s1518-8787.2020054001648 ◽

2020 ◽

Vol 54 ◽

pp. 7

Author(s):

Fernanda W. Machado Luz ◽

Alexandre Emídio Ribeiro Silva ◽

Ana Paula Perroni ◽

Marília L. Goettems ◽

Noéli Boscato

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Oral Health ◽

Family Income ◽

Health Related Quality ◽

Clinical Factors ◽

Related Quality ◽

Health Related ◽

The Impact

OBJECTIVE: This study evaluated the oral health-related quality of life (OHRQoL) of older adults participating or not in Seniors Centers (SC). METHODS: Two independent samples were compared: older adults who participate in SC (n = 124) and older adults who visited Primary Healthcare Centers (PHC) and do not participate in SC (n = 164). The data collected consisted of sociodemographic (sex, age, educational level, marital status, family income) and psychosocial characteristics—Sense of Coherence (SOC), anxiety and depression using HADS, happiness—, and oral clinical evaluation—use and need of dental prosthesis and decayed (D), missing (M), or filled (F) teeth. The resulting OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14). The Mann-Whitney test was used to assess the associations between the independent variables and the OHIP-14. Poisson regression models were also used in the analyses (α=0.05). RESULTS: In the PHC, of the 270 individuals invited to participate in the study, 164 (60.7%) were interviewed and clinically examined; while in the SC, of the 166 individuals invited to participate in the study, 124 (74.7%) were interviewed and clinically examined. After adjustments for sociodemographic, psychosocial and clinical factors, we found that the impact on OHRQoL was 2.8 times higher (95%CI 2.0–4.2) for older adults who did not participate in SC. CONCLUSION: Older adults who participated in SC showed better perception on OHRQoL, independently of sociodemographic, psychosocial and clinical factors.

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Creating an Age-Friendly Public Health System

Innovation in Aging ◽

10.1093/geroni/igz044 ◽

2020 ◽

Vol 4 (1) ◽

Cited By ~ 5

Author(s):

Anne De Biasi ◽

Megan Wolfe ◽

Jane Carmody ◽

Terry Fulmer ◽

John Auerbach

Keyword(s):

Public Health ◽

Older Adults ◽

Health System ◽

Older Adult ◽

Public Health System ◽

Adult Population ◽

Public Health Practice ◽

State Level ◽

Well Being ◽

Health Departments

Abstract Background and Objectives The public health system in America—at all levels—has relatively few specialized initiatives that prioritize the health and well-being of older adults. And when public health does address the needs of older adults, it is often as an afterthought. In consultation with leaders in public health, health care, and aging, an innovative Framework for an Age-Friendly Public Health System (Framework) was developed outlining roles that public health could fulfill, in collaboration with aging services, to address the challenges and opportunities of an aging society. Research Design and Methods With leadership from Trust for America’s Health and The John A. Hartford Foundation, the Florida Departments of Health and Elder Affairs are piloting the implementation of this Framework within Florida’s county health departments and at the state level. The county health departments are expanding data collection efforts to identify older adult needs, creating new alliances with aging sector partners, coordinating with other agencies and community organizations to implement evidence-based programs and policies that address priority needs, and aligning efforts with the age-friendly communities and age-friendly health systems movements. Results, and Discussion and Implications The county health departments in Florida participating in the pilot are leveraging the Framework to expand public health practice, programs, and policies that address health services and health behaviors, social, and economic factors and environmental conditions that allow older adults to age in place and live healthier and more productive lives. The model being piloted in Florida can be tailored to meet the unique needs of each community and their older adult population.

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Emotion regulation processes as mediators of the impact of past life events on older adults’ psychological distress

International Psychogeriatrics ◽

10.1017/s1041610219002084 ◽

2020 ◽

Vol 32 (2) ◽

pp. 199-209

Author(s):

Virginia Fernández-Fernández ◽

Andrés Losada-Baltar ◽

María Márquez-González ◽

Teresa Paniagua-Granados ◽

Carlos Vara-García ◽

...

Keyword(s):

Older Adults ◽

Emotion Regulation ◽

Psychological Distress ◽

Life Events ◽

Personal Growth ◽

Experiential Avoidance ◽

Well Being ◽

The Elderly ◽

Past Life ◽

The Impact

ABSTRACTObjective:Although it is known that certain emotion regulation processes produce a buffering effect on the relationship between life events and well-being, this issue has been poorly studied in the elderly population. Thus, the aim of the present study is to test and confirm a comprehensive model of the impact that past life events have on older adults’ psychological distress, exploring the possible mediating roles of emotion regulation processes. These include rumination, experiential avoidance, and personal growth.Methods:In this cross-sectional study, 387 people over 60 years old residing in the community were assessed on life events, physical functioning, emotion regulation variables, psychological well-being, as well as symptoms of anxiety and depression.Results:The structural model tested achieved a satisfactory fit to the data, explaining 73% of the variance of older adults’ psychological distress. In addition, the main results suggest possible mediation effects of both the physical functioning and the emotional variables: rumination, experiential avoidance, and personal growth in the face of hardship.Conclusions:These findings confirm the importance of emotion regulation processes in the final stages of life. They reveal the various adaptive and maladaptive mechanisms that underlie the relationship between life events and psychological distress. The findings suggest – both in the explanatory models of psychological well-being and in psychotherapeutic interventions – the importance of emotion regulation in the elderly population’s health.

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