scholarly journals INEQUALITIES IN HEALTHY AGING: THE DIFFERENTIAL IMPACT OF EDUCATION AND WEALTH ACROSS COHORT STUDIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S799-S799
Author(s):  
Yu-Tzu Wu ◽  
Christina Daskalopoulou ◽  
Graciela Muniz Terrera ◽  
Martin Prince ◽  
Matthew Prina

Abstract Several studies have investigated longitudinal changes in health status and functional ability but few have examined whether inequalities in healthy ageing varied across different countries. The aim of this study is to investigate trajectories of health metric scores (generated in previous symposium abstract) over the ageing process and examine the impact of education and wealth on the trajectories across eight cohorts in the ATHLOS consortium (N=135,828) using multilevel regression modelling. After adjusting for age, gender and study, higher levels of education (9.52; 95% CI: 9.30, 9.74) and wealth (8.06; 95% CI: 7.84, 8.28) were associated with higher baseline scores but had minimal impacts on decline rates. These effect sizes varied across different cohort studies and the inequality gradient was found to be strongest in the Health Retirement Study from US. Future research may investigate potential mechanisms which might explain the differential impact of education and wealth in different societies.

2021 ◽  
pp. 016264342198997
Author(s):  
Sojung Jung ◽  
Ciara Ousley ◽  
David McNaughton ◽  
Pamela Wolfe

In this meta-analytic review, we investigated the effects of technology supports on the acquisition of shopping skills for students with intellectual and developmental disabilities (IDD) between the ages of 5 and 24. Nineteen single-case experimental research studies, presented in 15 research articles, met the current study’s inclusion criteria and the What Works Clearinghouse (WWC) standards. An analysis of potential moderators was conducted, and we calculated effect sizes using Tau-U to examine the impact of age, diagnosis, and type of technology on the reported outcomes for the 56 participants. The results from the included studies provide evidence that a wide range of technology interventions had a positive impact on shopping performance. These positive effects were seen for individuals across a wide range of ages and disability types, and for a wide variety of shopping skills. The strongest effect sizes were observed for technologies that provided visual supports rather than just auditory support. We provide an interpretation of the findings, implications of the results, and recommended areas for future research.


2012 ◽  
Vol 10 (1) ◽  
pp. 53-61 ◽  
Author(s):  
Gerry Gallery ◽  
Jodie Nelson ◽  
Chan Guo

We review the literature on the impact of litigation risk (a form of external governance) on corporate prospective disclosure decisions as reflected in management earnings forecasts. From this analysis we identify four key areas for future research. First, litigation risk warrants more attention from researchers; currently it tends to be treated as a secondary factor impacting MEF decisions. Second, it would be informative from a governance perspective for researchers to explore why litigation risk has a differential impact on MEF decisions across countries. Third, understanding the interaction between litigation risk and forecast/firm-specific characteristics is important from management, investor and regulatory perspectives but is currently under-explored Last, research on the litigation risk and MEF attributes link is piecemeal and incomplete, requiring more integrated and expanded analysis.


2021 ◽  
Vol 36 (6) ◽  
pp. 1095-1095
Author(s):  
Nicholas S Lackey ◽  
Natasha Nemanim ◽  
Alexander O Hauson ◽  
Eric J Connors ◽  
Anna Pollard ◽  
...  

Abstract Objective A previous meta-analysis utilized the Trail Making Test A (TMT-A) to measure the impact of heart failure (HF) on attention. A near medium effect size with moderate heterogeneity was observed, the HF group performed worse than healthy controls (HC). This study explores if the age of the HF group moderates differences in the performance of individuals with HF versus HC on TMT-A. Data Selection Two researchers searched eight databases, extracted data, and calculated effect sizes as part of a larger study. Inclusion criteria were: (a) adults with HF (New York Heart Association severity II or higher), (b) comparison to a HC group, (c) standardized neuropsychological/cognitive testing, and (d) adequate data to calculate effect sizes. Exclusion criteria were: (a) participants had other types of major organ failure, (b) the article was not in English, or (c) there was a risk of sample overlap with another included study. A total of six articles were included in this sub-study (Total HF n = 602 and HC n = 342). The unrestricted maximum likelihood computational model was used for the meta-regression. Data Synthesis Studies included in the meta-regression evidenced a statistically significant medium effect size estimate with moderate heterogeneity (k = 6, g = 0.636, p < 0.001, I2 = 56.85%). The meta-regression was statistically significant (slope = −0.0515, p = 0.0016, Qmodel = 9.86, df = 1, p = 0.0016). Conclusions Individuals with HF performed worse on the TMT-A than HC. Age accounted for a significant proportion of the observed heterogeneity in the meta-regression. Future research should examine the relationship of age on cognition in individuals with HF.


2021 ◽  
Vol 36 (6) ◽  
pp. 1096-1096
Author(s):  
Natasha Nemanim ◽  
Nicholas Lackey ◽  
Eric J Connors ◽  
Alexander O Hauson ◽  
Anna Pollard ◽  
...  

Abstract Objective A previous meta-analysis assessing the impact of heart failure (HF) on cognition found the HF group performed more poorly than the healthy control (HC) on global cognition measures. The study observed a medium effect and moderate heterogeneity when using the Mini-Mental Status Examination (MMSE) to measure HF’s impact on global cognition. The current meta-regression explores whether the mean age of the HF group moderates performance on the MMSE when comparing HF patients to HC. Data Selection Two researchers independently searched eight databases, extracted data, and calculated effect sizes as part of a larger study. Inclusion criteria were: (a) adults with a diagnosis of HF, (b) comparison of HF patients to HC, and (c) adequate data to calculate effect sizes. Articles were excluded if patients had other types of organ failure, the article was not available in English, or there was a risk of sample overlap with another included study. Twelve articles (HF n = 1166 and HC n = 1948) were included. The unrestricted maximum likelihood computational model was used for the meta-regression. Data Synthesis Studies included in the meta-regression evidenced a statistically significant medium effect size estimate with moderate heterogeneity (k = 12, g = 0.671, p < 0.001, I2 = 80.91%). The meta-regression was statistically significant (slope = −0.023, p = 0.0022, Qmodel = 5.26, df = 1, p = 0.022). Conclusions Individuals with HF performed more poorly on the MMSE than HC. Larger effect sizes on the MMSE were observed in studies with participants who were younger compared to studies with participants who were older. Future research should continue to delineate the impact of age on global cognition in individuals with HF.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S354-S354
Author(s):  
Nancy F Woods ◽  
Barbara B Cochrane ◽  
Barbara B Cochrane

Abstract Although some countries have well-established birth cohorts for research on aging, few US projects have followed the evolution of women’s health from midlife through older age, leaving gaps in understanding their health and ignoring a window of time spanning age groups during which women may benefit from health promotion and prevention efforts. Cohort studies of midlife and older women’s health have begun to address this gap, providing opportunities to advance our understanding of both reproductive and healthy aging, including multiple racial/ethnic groups and US regions. Studying existing cohorts of aging women provides investigators with opportunities to: track changes over time, identifying trajectories of health along with aging; clarify antecedent-consequent relationships; identify how historical events may be related to emergent patterns of health; incorporate common data elements that allow comparisons within and across cohorts over time; and introduce new measures/indicators, such as genomic markers. This symposium will provide a foundation for future research using existing databases from studies providing longitudinal health-related measures of women as they age. Opportunities for conducting new analyses on midlife and older women’s health will be described for four large cohort studies: two studies of women exclusively -- the Study of Women’s Health Across the Nation and the Women’s Health Initiative – and two studies with large numbers of women participants – the Baltimore Longitudinal Study of Aging and the Rancho Bernardo Study of Healthy Aging. Unique and common considerations for answering future questions about women’s health from menopause to Medicare in these studies will be discussed.


1992 ◽  
Vol 24 (4) ◽  
pp. 309-332 ◽  
Author(s):  
John R. Jordan

While many clinical approaches to family therapy emphasize the impact of past stressors and losses on family functioning, there has been little empirical support for this position. This pilot study of twenty-four families examined the relationship between stressors and all deaths over four generations in a family's history, and the current functioning of family members. Results were mixed, but provided some intriguing findings about the differential impact of loss histories on mothers and fathers, and some evidence for the multigenerational and systemic effects of the stress/loss history. Methodological problems are discussed, and suggestions for future research are made.


2020 ◽  
Author(s):  
Alexandra E. Shields ◽  
Tracy Balboni

Abstract Background. The goal of this study was to understand prospective cohort Principal Investigators’ (PIs’) attitudes regarding the importance of religion and spirituality (R/S) on disease etiology in order to identify barriers and opportunities for greater inclusion of these domains in high-quality epidemiological research.Methods. One-hour, semi-structured qualitative interviews were conducted with 20 PIs representing 24 National Institutes of Health (NIH)-funded prospective cohort studies in the US, collectively capturing health data on 1 in 100 Americans. Sample size was calculated to achieve thematic saturation.Results. The majority of PIs we interviewed saw R/S as a potentially important area to investigate to better understand disease etiology, but some were unsure about the mechanisms through which R/S can impact health and how to translate this knowledge into public health interventions. PIs identified 5 key areas that are lacking in current R/S research that need to be addressed in future research to convince them of collecting more R/S measures in their cohorts: (1) high-quality, prospective studies; (2) examining a plausible biological mechanism; (3) commonly collected, well-validated R/S measures; (4) addressing bias against R/S research; and (5) NIH funding for R/S research.Conclusions. Results of this study provide a roadmap for future R/S research investigating the impact of R/S on disease etiology in the context of U.S. prospective cohort studies. Such research could provide potentially important information concerning how to address existing health disparities in the U.S.


Author(s):  
Sasa Ding ◽  
Frank McDonald ◽  
Yingqi Wei

AbstractThis paper conducts a meta-analytical review to examine the impact of internationalization on innovation, with particular attention to the role of research design factors that may confound causal inferences. The existing literature is examined (1) to determine the average effect of internationalization on innovation and (2) to assess how variations in key aspects of research design has affected results. Analysis of 99 studies reveals that the effects of internationalization on innovation are diverse but are generally positive, albeit the effect sizes are mostly small to moderate. The inferred magnitude of such effects is influenced by research design factors and that country-context matters. The results suggest that internationalization measurements, data characteristics and statistical artifacts affect the variations in effect sizes. We conclude with a discussion of opportunities and challenges in future research on the internationalization-innovation nexus.


2021 ◽  
Vol 11 (1) ◽  
pp. 10
Author(s):  
Mami Ando ◽  
Akio Obata ◽  
Wen Jye Mok ◽  
Satoshi Kitao

Soy sauce is a traditional Japanese seasoning made from fermented soybeans. As global demand grows, identifying novel soy sauce applications and benefits must become a priority. While conventional soy sauce undergoes heat-sterilization, filter-sterilization produces a lighter-colored (raw) soy sauce with preserved mold enzyme activities. As the impact of raw soy sauce during food (especially seafood) preparation remains unstudied, the present study compared the differential impact of raw and conventional soy sauce on tuna culinary properties. First, soy sauce color and protease activity were assessed. Next, tuna was marinated in soy sauce and non-alcoholic mirin for 0, 10, 35, or 60 min. Finally, marinated tuna properties (mass, salt content, surface salt penetration, color, rupture load, surface wetness, and protein content) were objectively assessed, and subjective sensory evaluation (appearance, aroma, wetness, softness, saltiness, umami, and overall taste) was performed by a blinded panel. Findings confirmed the lighter color of and the preservation of protease activity in raw soy sauce. Raw soy sauce significantly enhanced surface tenderization, salt penetration, and wetness, while both soy sauces increased surface firmness via salt-induced dehydration. Respondents significantly preferred the appearance and saltiness level of raw soy sauce-marinated tuna, and the umami and overall taste of tuna marinated in raw soy sauce for 60 min. The findings of this study, to our knowledge, demonstrate for the first time the potential culinary superiority of raw soy sauce in certain applications, and support future research to further define such applications.


2017 ◽  
Author(s):  
Corinna Fleischer ◽  
Philipp Doebler ◽  
Paul - Christian Bürkner ◽  
Heinz Holling

Purpose: Self-concept change has been proposed as a key driver of behavioral change through adventure therapy (Hans, 2000). Through exploratory moderator analysis we tried to identify process variables that influence the effect of adventure therapy on self-concept to contribute to a deeper understanding of why and when adventure therapy works. Methods: This meta-analysis includes thirty studies (53 effect sizes, 1802 subjects) that report effects of adventure therapy programs on three constructs concerning self-concept: locus of control, self-efficacy, and self-esteem. Participants were either at risk or in treatment for behavioral or mental health issues. Results: Short-term effect sizes of the impact of adventure therapy on self-concept were moderate for both uncontrolled effects (g = 0.51) and controlled effects (g = 0.56). There was no evidence for a difference between the effects on locus of control, self-efficacy or self-esteem. The revealed high heterogeneity of effect sizes could not be explained by any of the examined moderating variables. The follow-up effects confirmed a lasting self-concept change. No publication bias was found, but limitations and alternative explanations of the results are discussed. Conclusions: Future research needs to focus on psychological processes involved in adventure therapy and strive towards high methodological quality.


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