scholarly journals Caregiving Across Diverse Populations: New Evidence From the National Study of Caregiving and Hispanic EPESE

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Sunshine M Rote ◽  
Jacqueline L Angel ◽  
Heehyul Moon ◽  
Kyriakos Markides
Keyword(s):  
African American ◽  
Mexican American ◽  
The Elderly ◽  
The United States ◽  
Population Based ◽  
Epidemiologic Studies ◽  
National Study ◽  
Logistic Regression Models ◽  
Self Rated Health ◽  
Design And Methods

Abstract Background and Objectives The current study employs population-based data to determine the extent to which stress and coping factors are related to self-rated health and distress for informal caregivers (CGs) from the 3 largest racial/ethnic groups in the United States (non-Latino White, African American, and Mexican American). Research Design and Methods Data on primary, informal CGs are obtained from the 2015 National Study of Caregiving (NSOC) (n = 667) and the 2016 Hispanic Established Populations for the Epidemiologic Studies of the Elderly (H-EPESE) CG supplement (n = 287). Logistic regression models of health are presented for all CGs and specifically for dementia CGs. Results Caregiving intensity is related to health for non-Latino White CGs and African American dementia CGs. Support from family and friends is related to better self-rated health, but only for African American dementia CGs. While better relationship quality is related to better health for African American CGs and White dementia CGs, formal support utilization is related to worse CG health for Mexican American dementia CGs. Discussion and Implications Findings emphasize the importance of earlier detection and intervention with CGs at the beginning in the caregiving career, the interplay of formal and informal support, and appropriate ways to intervene with dementia CGs. Culturally tailored home- and community-based care options are needed to supplement the low levels of CG support, especially for the Mexican American population.

scholarly journals Determinants of Mobility Disability in Older Adults: Evidence from Population-Based Epidemiologic Studies

2010 ◽  
Author(s):  
Marco Inzitari
Keyword(s):  
Older Adults ◽  
Older Persons ◽  
Aging Process ◽  
The Elderly ◽  
The United States ◽  
Population Based ◽  
Epidemiologic Studies ◽  
Progressive Development ◽  
Loss Of Autonomy ◽  
Practical Implications

Gait and mobility are cardinal to maintain autonomy and independency in daily life, also for older persons. Changes in these functions might be critical in the transition towards disability and loss of autonomy during the aging process. The aim of the present work, which collects three years of research conducted between Italy and the United States, was to assess some of the main risk factors for the progressive impairment of mobility and gait in older adults living in the community. According to our results, abnormalities in the nervous and cardiovascular systems, even subtle, are associated with a subsequent worsening of these functions. These data might help to better understand the progressive development of disability in the elderly, and in the future might also have practical implications for prevention.

African-American, Anglo-American, and Anglo-Canadian Grade 4 Children's Concepts of Old People and of Extended Family

1992 ◽  
Vol 35 (3) ◽  
pp. 161-178 ◽  
Author(s):  
Diana T. Slaughter-Defoe ◽  
Valerie Shahariw Kuehne ◽  
Jane K. Straker
Keyword(s):  
African American ◽  
Extended Family ◽  
The Elderly ◽  
The United States ◽  
National Study ◽  
African American Children ◽  
Old People ◽  
Discrimination Ability ◽  
Anglo American ◽  
American Children

A cross-national study of 104 fourth grade children's concepts of old people and extended family was conducted in Canada and the United States, using the Children's Attitudes Toward the Elderly Scale (CATE), and a modified version of the Gilby and Pederson (1982) Family Concept Interview. Both Anglo-American and African-American children were included in the U.S. sample. Results indicated that Anglo-American and Anglo-Canadian children were significantly more similar in their attitudes toward the elderly and their concepts of family than African-American and Anglo-American children. In comparison with the other two cultural groups, Anglo-American children were significantly more likely to include extended family members in their concept of who is family; Anglo-Canadian children had a significantly higher level of age discrimination ability; and African-American children showed a trend toward more positive attitudes toward older people. Overall findings of negative attitudes toward old people were consistent with earlier studies. The implications of children's ageist attitudes for increasingly aging Western societies are noted, particularly given impoverished children's potential need for extrafamilial social supports.

scholarly journals Associated factors with the use of dentures or reported dental and gum problems with oral prosthesis use among Mexican American older adults

2017 ◽  
Vol 18 (1) ◽  
pp. 10-16
Author(s):  
Carlos Reyes Ortíz ◽  
Libia Soto Llanos
Keyword(s):  
Mexican Americans ◽  
Mexican American ◽  
Older Persons ◽  
The Elderly ◽  
The United States ◽  
Epidemiologic Studies ◽  
Dental Prosthesis ◽  
Cross Sectional ◽  
Sectional Analysis

The objective of this study was to determine factors associated with using dental prosthesis or oral problems related to their use among older Mexican Americans of the Hispanic Established Populations for Epidemiologic Studies of the Elderly EPESE) in the United States. A cross-sectional analysis was made with data of 2992 men and women aged 65 years and older inter-viewed during 1993-1994. Forty four % of subjects reported the use of partial or total dental prosthesis. Among those using dental prosthesis, 21% reported problems with teeth or gums when eating. In multivariate analyses, instrumental activities of daily living (IADL) limitations were associated with using dental prosthesis (OR = 1.23, 95% confidence interval - CI =1.04-1.45). Also, among subjects using dental pros-thesis, increased depressive symptoms (OR = 1.42, 95% CI 1.04-1.95) and IADL limitations (OR = 1.58, 95% CI 1.15-2.17) were associated with problems with teeth or gums when eating. In conclusion, factors usually affecting quality of life in older persons such as functional dependency and depression are associated with using dental prosthesis or oral problems with teeth or gums when eating.

The Oxford Handbook of Integrative Health Science

2018 ◽  
Keyword(s):  
Adult Life ◽  
The United States ◽  
Sociodemographic Factors ◽  
Population Based ◽  
Health Science ◽  
National Study ◽  
Integrative Health ◽  
Social Structural ◽  
Research Population ◽  
Psychosocial Influences

This handbook signals a paradigm shift in health research. Population-based disciplines have employed large national samples to examine how sociodemographic factors contour rates of morbidity and mortality. Behavioral and psychosocial disciplines have studied the factors that influence these domains using small, nonrepresentative samples in experimental or longitudinal contexts. Biomedical disciplines, drawing on diverse fields, have examined mechanistic processes implicated in disease outcomes. The collection of chapters in this handbook embraces all such prior approaches and, via targeted questions, illustrates how they can be woven together. Diverse contributions showcase how social structural influences work together with psychosocial influences or experiential factors to impact differing health outcomes, including profiles of biological risk across distinct physiological systems. These varied biopsychosocial advances have grown up around the Midlife in the United States (MIDUS) national study of health, begun over 20 years ago and now encompassing over 12,000 Americans followed through time. The overarching principle behind the MIDUS enterprise is that deeper understanding of why some individuals remain healthy and well as they move across the decades of adult life, while others succumb to differing varieties of disease, dysfunction, or disability, requires a commitment to comprehensiveness that attends to the interplay of multiple interacting influences. Put another way, all of the disciplines mentioned have reliably documented influences on health, but in and of themselves, each is inherently limited because it neglects factors known to matter for health outside the discipline’s purview. Integrative health science is the alternative seeking to overcome these limitations.

scholarly journals Gender Differences in Neuropsychiatric Symptoms Among Community-Dwelling Mexican Americans Aged 80 and Older

2021 ◽  
Vol 36 ◽  
pp. 153331752110429
Author(s):  
Sadaf Arefi Milani ◽  
Phillip A Cantu ◽  
Abbey B. Berenson ◽  
Yong-Fang Kuo ◽  
Kyriakos S. Markides ◽  
...  
Keyword(s):  
Gender Differences ◽  
Mexican Americans ◽  
Neuropsychiatric Symptoms ◽  
The Elderly ◽  
Community Dwelling ◽  
Treatment Programs ◽  
Depression And Anxiety ◽  
Logistic Regression Models ◽  
Using Data ◽  
Design And Methods

Background and Objectives To assess gender differences in prevalence of neuropsychiatric symptoms (NPS) among community-dwelling Mexican Americans ≥80 years. Research Design and Methods: Using data from Wave 7 (2010–2011) of the Hispanic Established Population for the Epidemiological Study of the Elderly, we analyzed the NPS of 914 participants as determined by the Neuropsychiatric Inventory (NPI) with assessments conducted by their caregivers. Multivariate logistic regression models were used to test the association of individual NPS with gender, adjusting for relevant characteristics. Results: The average age of our sample was 86.1 years, and 65.3% were women. Over 60% of participants had at least one informant/caregiver reported NPS. After adjustment, women had lower odds than men of agitation/aggression but higher odds of dysphoria/depression and anxiety. Discussion: Recognizing gender differences in NPS phenotype could help guide development of culturally appropriate NPS screening and treatment programs.

scholarly journals Acculturative status, age, and hypertension among African American women

2021 ◽  
Vol 8 (5) ◽  
pp. 2083
Author(s):  
Fern J. Webb ◽  
Christina Jones ◽  
Ross Jones ◽  
Kristen Morga ◽  
Lori Bilello ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
Cultural Beliefs ◽  
The United States ◽  
Population Based ◽  
Health Interventions ◽  
Traditional Values ◽  
American Women ◽  
Using Data ◽  
Research Assistants

Background: Understanding culture’s impact on hypertension (HTN) is important since its prevalence in African American women (AAW) in the United States is among the highest. It is therefore important to know if younger AAW have similar acculturation status as older AAW when developing culturally relevant interventions.  The objective of this study was to examine the association between acculturation status and age, determining whether acculturation status and age are significantly associated with hypertension among AAW.Methods: Acculturation status, age, and HTN were analyzed using data from the listening to our voices study (LOVS), a population-based observational study of 294 AAW conducted throughout Florida. LOVS was promoted via African American women research assistants trained to inform and recruit AAW living in Ft. Lauderdale, Jacksonville, Miami, and Tampa.Results: Findings demonstrate that AAW held traditional values regardless of age. Moreover, AAW of younger ages had higher average acculturation scores compared with older AAW indicating stronger agreement with traditional values, practices and beliefs. Acculturation subscale scores were not associated with HTN. AAW with HTN scored higher on the traditional food subscale compared to AAW without HTN.Conclusions: These findings indicate the significance of considering the beliefs, values, and practices of AAW when developing health interventions. Health interventions developed should be tailored toward AAW of varying ages to incorporate activities relevant to their cultural beliefs, values and practices.

Abstract 15312: Racial Disparities in Trends in Mortality From Cardiac Arrests in the United States

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Anas M Al Zubaidi ◽  
Graham Bevan ◽  
Mariam Rana ◽  
Abdul Rahman Al Armashi ◽  
Mustafa Alqaysi ◽  
...  
Keyword(s):  
United States ◽  
Cardiac Arrest ◽  
African American ◽  
African Americans ◽  
Cause Of Death ◽  
Census Data ◽  
International Classification Of Diseases ◽  
The United States ◽  
Population Based ◽  
Increased Risk

Background: African Americans are at increased risk of fatal cardiac arrests, but population-based studies exploring contemporary epidemiology are not available. We sought to identify the trend in race-specific mortality from cardiac arrest in the United States. Methods: Using the multiple cause of death database, we identified all patients (Caucasians or African Americans) who died of cardiac arrest (International Classification of Diseases, 10th revision code I46.x listed as underlying cause of death) between 1999 and 2018. Age-adjusted mortality rates were standardized to the 2000 US census data, and stratified by age group (<35 years, 35-64 years, and ≥ 65 years). Results: A total of 311,065 cardiac arrest deaths were identified, with an overall age-adjusted mortality of 53.6 per million (Caucasian: 49.1 per million, African American: 90.6 per million). Overall, age-adjusted mortality decreased from 80.1 per million persons (1999) to 44.3 per million persons (2012), followed by 8.8% increase to 48.2 (2018). Between 2012 and 2018, African Americans had higher rates of increase (10.9%) compared with Caucasians (6.9%). Largest disparities in relative changes between 2012 and 2018 occurred in patients younger than 35 years (African American: 35%, Caucasians -11%), and patients ≥ 65 years (African Americans: 8%, Caucasians 4%), figure. Conclusions: Although the mortality due to cardiac arrest has declined in the US between 1999 and 2012, a recent increase has been noted between 2012 and 2018, particularly among younger African Americans. Studies should focus on identifying causes of disparities and identifying methods to reduce the racial gap.

Sign in / Sign up

Export Citation Format

Share Document