scholarly journals DEVELOPMENT AND REVISION OF THE FAMILY EMERGENCY PREPARATION PLAN AMONG OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S542-S542
Author(s):  
Zhen Cong ◽  
Zhen Cong ◽  
James Craig Keaton ◽  
Daan Liang
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Telephone Survey ◽  
Multinomial Logistic Regression ◽  
Younger Adults ◽  
The Family ◽  
One Year

Abstract This study examines factors related to holding, revising, and developing an individual emergency preparation plan among older adults who experienced violent tornadoes. A telephone survey was conducted with 543 respondents approximately one year after two violent tornadoes in 2013 with 276 respondents aged 65 or above. Logistic and multinomial logistic regression showed that education was positively associated with a higher likelihood of having a plan among younger but not older adults. Among those who had a plan before the tornado, older, but not younger, adults who experienced more stress were more likely to report the plan as helpful. More stress and having someone in the household with disability increased the likelihood of revising plans afterward among older adults but not among younger adults. Older adults were less likely to develop a new plan and older, but not younger, adults who reported more stress were more likely to develop a plan.

Which Household Emergency Plans are More Helpful in Tornadoes? Through the Lens of Gerontology

2020 ◽  
pp. 1-8
Author(s):  
Zhen Cong ◽  
Daan Liang ◽  
Jianjun Luo
Keyword(s):  
Older Adults ◽  
Latent Class ◽  
Telephone Survey ◽  
Age Groups ◽  
Emergency Plan ◽  
Emergency Plans ◽  
Younger Adults ◽  
Resilience Factors ◽  
One Year

ABSTRACT Objective: This study investigated how the effectiveness of household emergency plans during tornadoes was associated with family discussions, and the attributes of the plan for different age groups. Methods: A telephone survey was conducted in 2014, one year after two 2013 Enhanced Fujita 4/5 tornadoes. The working sample included 223 respondents who reported having a household emergency plan before the tornadoes. The latent class analysis was used to identify the patterns of the plans and develop a typology based on their content. Logistic regression was used to examine predictors for plan effectiveness. Results: Two classes of plans were identified: quality plans that were rich in content and limited plans that had lower levels of content richness. Older adults were less likely to have quality plans and less likely to have family discussions. Quality of the plan and discussions with family members increased plan effectiveness among older adults, but not younger adults. Conclusions: Better emergency planning could be more important for older than for younger adults. The findings were discussed from a gerontological perspective that focuses on older adults’ unique needs, vulnerabilities, and resilience factors.

scholarly journals Should the family or the state provide support for the elderly people? Findings from a two-generational Finnish study

2019 ◽  
Vol 39 (1/2) ◽  
pp. 138-155 ◽  
Author(s):  
Antti O. Tanskanen ◽  
Johanna Kallio ◽  
Mirkka Danielsbacka
Keyword(s):  
Older Adults ◽  
Elderly People ◽  
Elderly Care ◽  
The Elderly ◽  
The State ◽  
Younger Adults ◽  
Content Type ◽  
Public Opinions ◽  
The Family ◽  
Nationally Representative

Purpose The purpose of this paper is to investigate public opinions towards elderly care. The authors analysed respondents’ opinions towards financial support, practical help and care for elderly people. Design/methodology/approach The authors used nationally representative data collected in Finland in 2012. Respondents represent an older generation (born between 1945 and 1950, n=1,959) and their adult children (born between 1962 and 1993, n=1,652). Findings First, the authors compared the opinions of older and younger Finns but did not find that older adults were more likely than younger adults support the state responsibility, or vice versa. It was also when only actual parent-child dyads (n=779) from same families were included. Next, the authors found that several socioeconomic and family-related variables were associated with public opinions of elderly care in both generations. For instance, in both generations lower-income individuals supported the state’s responsibility more compared to their better-off counterparts. Originality/value The study provides important knowledge on attitudes towards elderly care using unique two-generational data of younger and older adults.

scholarly journals Effectiveness of Household Emergency Plans in Violent Tornadoes

2020 ◽  
pp. 1-2
Author(s):  
Zhen Cong ◽  
Daan Liang ◽  
Jianjun Luo
Keyword(s):  
Logistic Regression ◽  
Empirical Evidence ◽  
Family Involvement ◽  
Random Sampling ◽  
Telephone Survey ◽  
Multinomial Logistic Regression ◽  
Family Members ◽  
Emergency Plan ◽  
Emergency Plans

ABSTRACT Objective: This study examined factors that were associated with the effectiveness of pre-existing household emergency plans during the 2011 EF5 Joplin and EF4 Tuscaloosa tornadoes. We focused on whether discussing with family members helped increase the plan’s effectiveness. Methods: A telephone survey based on random sampling was conducted in 2012 with 1006 respondents in both cities. Each city experienced huge losses, injuries, and casualties. The working sample included 494 respondents who had a household emergency plan in place before these tornadoes. Results: Multinomial logistic regression showed that discussing with family members increased the helpfulness of the plan in Joplin, where people had not experienced tornadoes frequently and were less prepared for tornadoes relative to residents in Tuscaloosa. Conclusions: This study provides empirical evidence on the importance of encouraging family involvement when making household emergency plans, especially in places that are less prepared for disasters than those that are better prepared.

scholarly journals Is there an association between ageist attitudes and frailty?

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Douglas Salguero ◽  
Juliana Ferri-Guerra ◽  
Nadeem Y. Mohammed ◽  
Dhanya Baskaran ◽  
Raquel Aparicio-Ugarriza ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Multinomial Logistic Regression ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Outcome Variable ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Frailty Status

Abstract Background Frailty is defined as a state of vulnerability to stressors that is associated with higher morbidity, mortality and healthcare utilization in older adults. Ageism is “a process of systematic stereotyping and discrimination against people because they are old.” Explicit biases involve deliberate or conscious controls, while implicit bias involve unconscious processes. Multiple studies show that self-directed ageism is a risk factor for increased morbidity and mortality. The purpose of this study was to determine whether explicit ageist attitudes are associated with frailty in Veterans. Methods This is a cross-sectional study of Veterans 50 years and older who completed the Kogan’s Attitudes towards Older People Scale (KAOP) scale to assess explicit ageist attitudes and the Implicit Association Test (IAT) to evaluate implicit ageist attitudes from July 2014 through April 2015. We constructed a frailty index (FI) of 44 variables (demographics, comorbidities, number of medications, laboratory tests, and activities of daily living) that was retrospectively applied to the time of completion of the KAOP and IAT. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated by multinomial logistic regression models with frailty status (robust, prefrail and frail) as the outcome variable, and with KAOP and IAT scores as the independent variables. Age, race, ethnicity, median household income and comorbidities were considered as covariates. Results Patients were 89.76% male, 48.03% White, 87.93% non-Hispanic and the mean age was 60.51 (SD = 7.16) years. The proportion of robust, pre-frail and frail patients was 11.02% (n = 42), 59.58% (n = 227) and 29.40% (n = 112) respectively. The KAOP was completed by 381 and the IAT by 339 participants. In multinomial logistic regression, neither explicit ageist attitudes (KAOP scale score) nor implicit ageist attitudes (IAT) were associated with frailty in community dwelling Veterans after adjusting for covariates: OR = .98 (95% CI = .95–1.01), p = .221, and OR:=.97 (95% CI = .37–2.53), p = .950 respectively. Conclusions This study shows that neither explicit nor implicit ageist attitudes were associated with frailty in community dwelling Veterans. Further longitudinal and larger studies with more diverse samples and measured with other ageism scales should evaluate the independent contribution of ageist attitudes to frailty in older adults.

scholarly journals Effectiveness of BNT162b2 and mRNA-1273 COVID-19 vaccines against symptomatic SARS-CoV-2 infection and severe COVID-19 outcomes in Ontario, Canada

2021 ◽  
Author(s):  
Hannah Chung ◽  
Siyi He ◽  
Sharifa Nasreen ◽  
Maria Sundaram ◽  
Sarah A Buchan ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Single Dose ◽  
Outcome Measures ◽  
Vaccine Dose ◽  
Community Dwelling ◽  
Administrative Databases ◽  
Rt Pcr ◽  
Symptomatic Infection ◽  
Younger Adults

Objectives: To estimate the effectiveness of one and two doses of mRNA COVID-19 vaccines against symptomatic infection and severe outcomes. Design: Using a test-negative design study and linked laboratory, vaccination, and health administrative databases, we estimated adjusted vaccine effectiveness (aVE) against symptomatic infection and severe outcomes (hospitalization or death) using multivariable logistic regression. Setting: Ontario, Canada between 14 December 2020 and 19 April 2021. Participants: Community-dwelling adults aged ≥16 years who were tested for SARS-CoV-2 and had COVID-19 symptoms. Interventions: Pfizer-BioNTech's BNT162b2 or Moderna's mRNA-1273 vaccine. Main outcome measures: Laboratory-confirmed SARS-CoV-2 identified by RT-PCR; hospitalization or death associated with SARS-CoV-2 infection. Results: Among 324,033 symptomatic individuals, 53,270 (16.4%) were positive for SARS-CoV-2 and 21,272 (6.6%) received 1 or more vaccine dose. Among test-positive cases, 2,479 (4.7%) had a severe outcome. aVE against symptomatic infection 14 days or more after receiving only 1 dose was 60% (95%CI, 57 to 64%), increasing from 48% (95%CI, 41 to 54%) at 14-20 days after the first dose to 71% (95%CI, 63 to 78%) at 35-41 days. aVE 7 days or more after receiving 2 doses was 91% (95%CI, 89 to 93%). Against severe outcomes, aVE 14 days or more after receiving 1 dose was 70% (95%CI, 60 to 77%), increasing from 62% (95%CI, 44 to 75%) at 14-20 days to 91% (95%CI, 73 to 97%) at 35 days or more, whereas aVE 7 days or more after receiving 2 doses was 98% (95%CI, 88 to 100%). For adults aged 70 years and older, aVE estimates were lower after receiving 1 dose, but were comparable to younger adults after 28 days. After 2 doses, we observed high aVE against E484K-positive variants. Conclusions: Two doses of BNT162b2 and mRNA-1273 vaccines are highly effective against both symptomatic infection and severe outcomes. Effectiveness is lower after only a single dose, particularly for older adults shortly after the first dose.

scholarly journals A trend of Korean older adults’ awareness as a threat to society during the COVID-19 pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1030-1030
Author(s):  
Soonhyung Kwon ◽  
Jaesung An ◽  
Oejin Shin
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Health Outcomes ◽  
Latent Class ◽  
Multinomial Logistic Regression ◽  
Demographic Characteristics ◽  
Younger Age ◽  
Negative Cognition ◽  
High Level ◽  
The Relationship

Abstract Background Unlike ageism that consists of one’s prejudice, stereotype, and discrimination toward older adults, age-based threats are one’s negative cognition (Levy, 2001). Previous studies indicated that the younger generation stigmatizes the older generation as unworthy during the COVID-19 pandemic (Meisner, 2021). However, there is no study looking at how older adults perceive themselves as threats to society during this time of the pandemic. Thus, our study aimed to understand the varying trend of older adults’ awareness as a threat to society in association with socio-economic profiles before and during the pandemic. Method: This study included 637 Korean older adults who answered the older generation’s threats to society from 2018 to 2020. We used Latent Class Analysis (LCA) to categorize participants into different subgroups that shared distinct patterns of threats to society. Multinomial logistic regression examined how the subgroups in threats to society were associated with socio-demographic characteristics in each year. Results For three waves, three clusters of threats to society (low, mid, and high) were identified. Although the mid-level of threat remained the same (60% of the sample for three years), the high level of threats has been doubled in 2019 (25%) compared to 2018 (11%) and 2020 (13%). Regarding the associated socio-demographic characteristics with threats to society, those who being female in 2018 and younger age in 2020 were more likely to be associated with mid-level of threats to society. Discussion Further study needs to identify the relationship between awareness as a threat to society and health outcomes.

scholarly journals The Willingness for Downward Referral and Its Influencing Factors: A Cross-Sectional Study among Older Adults in Shandong, China

2020 ◽  
Vol 17 (1) ◽  
pp. 369
Author(s):  
Xiang Jing ◽  
Lingzhong Xu ◽  
Wenzhe Qin ◽  
Jiao Zhang ◽  
Lu Lu ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Influencing Factors ◽  
Treatment Effect ◽  
Multinomial Logistic Regression ◽  
Outpatient Service ◽  
Essential Medicines ◽  
Inpatient Service ◽  
Cross Sectional ◽  
Medical Institutions

Objectives: The aim of this study was to understand the willingness for downward referral among older adults who were hospitalized in the year before the survey and to explore its influencing factors. Methods: The sample was randomly selected by the multi-stage sampling method. A structural questionnaire was used to collect data from participants age 60 and above in Shandong, China, during August 2017. Data were analyzed by using descriptive statistics, one-way ANOVA, chi-square test, and multinomial logistic regression. Results: Of 1198 participants who were hospitalized in the year before the survey, 28.7% self-initiated downward referral, and 33.9% were willing to accept downward referral after a doctor’s advice. Multinomial logistic regression results showed that self-rated health, treatment effect in primary medical institutions, preference for outpatient service, choice of inpatient service, general understanding of essential medicines, the cost of essential medicines after zero-markup policy, and satisfaction with essential medicines’ reimbursement policy significantly correlated with older adults’ willingness for downward referral. Conclusions: The proportion of older adults who self-initiated downward referral was less than one-third. Doctors’ advice plays an important role in willingness for downward referral. More attention should be paid to improving the treatment effect of primary medical institutions, increasing the benefits of zero-markup policy, and ensuring a high reimbursement for the downward referral to work alongside doctors’ advice.

Fall Worry Restricts Social Engagement in Older Adults

2019 ◽  
Vol 32 (5-6) ◽  
pp. 422-431 ◽  
Author(s):  
Namkee G. Choi ◽  
Martha L. Bruce ◽  
Diana M. DiNitto ◽  
C. Nathan Marti ◽  
Mark E. Kunik
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Social Engagement ◽  
Regression Models ◽  
Multinomial Logistic Regression ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Health Related ◽  
Reported Health ◽  
Longitudinal Associations

Objective: To examine cross-sectional and longitudinal associations between (a) activity-limiting fall worry (ALW) and (b) self-reported health-related restrictions and social engagement among older adults. Method: The National Health and Aging Trends Study Waves 5 (T1) and 6 (T2) provided data ( n = 6,279). Binary and multinomial logistic regression models were used to examine association of T2 social engagement restrictions with T2 fall worry and association of T1–T2 changes in social engagement restrictions with T1–T2 changes in fall worry. Results: ALW was significantly associated with both informal and formal social engagement restriction at T2. Onset of ALW and continued ALW between T1 and T2 were also significantly associated with newly reported restrictions in both informal and formal social engagement at T2 even controlling for falls incidents and changes in health status and other covariates. Discussion: The findings underscore the importance of reducing fall worry and preventing social disengagement in late life.

Decision-making profile in older adults: the influence of cognitive impairment, premorbid intelligence and depressive symptoms

2019 ◽  
Vol 32 (6) ◽  
pp. 697-703
Author(s):  
Marina Maria Biella ◽  
Alaise Silva Santos de Siqueira ◽  
Marcus Kiiti Borges ◽  
Elyse Soares Ribeiro ◽  
Regina Miksian Magaldi ◽  
...  
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Logistic Regression ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Cognitive Aging ◽  
Multinomial Logistic Regression ◽  
Cognitive Disorders ◽  
Cross Sectional ◽  
Premorbid Intelligence

ABSTRACTObjective:Decision-making (DM) is a component of executive functioning. DM is essential to make proper decisions regarding important life and health issues. DM can be impaired in cognitive disorders among older adults, but current literature is scarce. The aim of this study was to evaluate the DM profile in participants with and without cognitive impairment.Design:Cross-sectional analysis of a cohort study on cognitive aging.Participants:143 older adults.Setting:University-based memory clinic.Methods:Patients comprised three groups after inclusion and exclusion criteria: healthy controls (n=29), mild cognitive impairment (n=81) and dementia (n=33). Participants were evaluated using an extensive neuropsychological protocol. DM profile was evaluated by the Melbourne Decision Making Questionnaire. Multinomial logistic regression was used to evaluate associations between age, sex, educational level, estimated intelligence quotient (IQ), cognitive disorders, depressive or anxiety symptoms, and the DM profiles.Results:The most prevalent DM profile was the vigilant type, having a prevalence of 64.3%. The vigilant profile also predominated in all three groups. The multinomial logistic regression showed that the avoidance profile (i.e. buck-passing) was associated with a greater presence of dementia (p=0.046) and depressive symptoms (p=0.024), but with less anxious symptoms (p=0.047). The procrastination profile was also associated with depressive symptoms (p=0.048). Finally, the hypervigilant profile was associated with a lower pre-morbid IQ (p=0.007).Conclusion:Older adults with cognitive impairment tended to make more unfavorable choices and have a more dysfunctional DM profile compared to healthy elders.

scholarly journals Perceived Opportunities for Physical Activity and Willingness to Be More Active in Older Adults with Different Physical Activity Levels

2021 ◽  
Vol 18 (11) ◽  
pp. 6146
Author(s):  
Eeva Aartolahti ◽  
Johanna Eronen ◽  
Timo Törmäkangas ◽  
Taina Rantanen ◽  
Mirja Hirvensalo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Logistic Regression ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Multinomial Logistic Regression ◽  
Activity Levels ◽  
Perceived Need ◽  
Community Residents ◽  
Physical Activity Levels

This study examined equity in physical activity (PA) by investigating whether perceived opportunity for PA was associated with willingness to be more active. Among community residents (75, 80, or 85 years old, n = 962) perceived opportunity for PA (poor and good), willingness to be more active (not at all, a bit, and a lot), and level of PA (low, moderate, and high) were assessed via questionnaires. Multinomial logistic regression showed that physical activity moderated the association between poor opportunity and willingness to increase PA. Among those with moderate PA, poor opportunity for PA increased the odds of willingness to be a lot more active (multinomial odds ratio, mOR 3.90, 95% confidence interval 2.21–6.87) than not wanting to be more active compared to those perceiving good opportunities. Associations were similar at high PA levels (p < 0.001), but were not found at low PA levels. Those with moderate or high PA wish to increase their activity particularly when the perceived opportunities for activity are not optimal. Among those with low PA, perceived opportunities are not associated with a perceived need to increase physical activity. Increasing equity in physical activity in old age requires provision of support and opportunities at every level of physical activity.

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