Predictors of 4-Year Retention Among African American and White Community-Dwelling Participants in the UAB Study of Aging

This chapter discusses Church’s waning influence and subsequent shift to more radical political activism in the 1930s and 1940s. Church resigned his position at the NAACP and argued with the newly appointed Walter White. While he remained respected as an African American leader, his relationship with the white community became increasingly adversarial. His fallout with Boss Crump in the 1930s led to Crump directly attacking him. At the same time, his relationship with socialist labor leader A. Philip Randolph became closer. The chapter ends with a discussion of the erasure of Church’s legacy in Memphis immediately after his death, and his daughter’s mission to restore it.

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Comparison of two cognitive screening measures in differentiating functioning among community dwelling African-American seniors

Archives of Clinical Neuropsychology ◽

10.1093/arclin/12.4.360b ◽

1997 ◽

Vol 12 (4) ◽

pp. 360-361

Author(s):

P. G. Longobardi ◽

T. L. Strickland ◽

R. Kington ◽

J. Cummings

Keyword(s):

African American ◽

Community Dwelling ◽

Cognitive Screening ◽

Screening Measures

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Goat Castle

10.5149/northcarolina/9781469635033.001.0001 ◽

2017 ◽

Author(s):

Karen L. Cox

Keyword(s):

African American ◽

Black Woman ◽

Jim Crow ◽

White Community ◽

The Press ◽

Wild Man ◽

Racial Injustice ◽

True Crime ◽

The City ◽

Jim Crow South

In 1932, the city of Natchez, Mississippi, reckoned with an unexpected influx of journalists and tourists as the lurid story of a local murder was splashed across headlines nationwide. Two eccentrics, Richard Dana and Octavia Dockery—known in the press as the “Wild Man” and the “Goat Woman”—enlisted an African American man named George Pearls to rob their reclusive neighbor, Jennie Merrill, at her estate. During the attempted robbery, Merrill was shot and killed. The crime drew national coverage when it came to light that Dana and Dockery, the alleged murderers, shared their huge, decaying antebellum mansion with their goats and other livestock, which prompted journalists to call the estate “Goat Castle.” Pearls was killed by an Arkansas policeman in an unrelated incident before he could face trial. However, as was all too typical in the Jim Crow South, the white community demanded “justice,” and an innocent black woman named Emily Burns was ultimately sent to prison for the murder of Merrill. Dana and Dockery not only avoided punishment but also lived to profit from the notoriety of the murder by opening their derelict home to tourists. Strange, fascinating, and sobering, Goat Castle tells the story of this local feud, killing, investigation, and trial, showing how a true crime tale of fallen southern grandeur and murder obscured an all too familiar story of racial injustice.

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Polypharmacy among Underserved Older African American Adults

Journal of Aging Research ◽

10.1155/2017/6026358 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 15

Author(s):

Mohsen Bazargan ◽

James Smith ◽

Masoud Movassaghi ◽

David Martins ◽

Hamed Yazdanshenas ◽

...

Keyword(s):

African American ◽

Inappropriate Medication ◽

Medication Use ◽

Community Dwelling ◽

Potentially Inappropriate Medication ◽

Inappropriate Drug ◽

Potentially Inappropriate Medications ◽

African American Adults ◽

Inappropriate Medication Use ◽

Inappropriate Medications

The purpose of the present study was to examine correlates of polypharmacy among underserved community-dwelling older African American adults. Methods. This study recruited 400 underserved older African Americans adults living in South Los Angeles. The structured face-to-face interviews collected data on participants’ characteristics and elicited data pertaining to the type, frequency, dosage, and indications of all medications used by participants. Results. Seventy-five and thirty percent of participants take at least five and ten medications per day, respectively. Thirty-eight percent of participants received prescription medications from at least three providers. Inappropriate drug use occurred among seventy percent of the participants. Multivariate analysis showed that number of providers was the strongest correlate of polypharmacy. Moreover, data show that gender, comorbidity, and potentially inappropriate medication use are other major correlates of polypharmacy. Conclusions. This study shows a high rate of polypharmacy and potentially inappropriate medication use among underserved older African American adults. We documented strong associations between polypharmacy and use of potentially inappropriate medications, comorbidities, and having multiple providers. Polypharmacy and potentially inappropriate medications may be attributed to poor coordination and management of medications among providers and pharmacists. There is an urgent need to develop innovative and effective strategies to reduce inappropriate polypharmacy and potentially inappropriate medication in underserved elderly minority populations.

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Social Relationships and Social Engagement Among African American Adults With a History of Incarceration

Innovation in Aging ◽

10.1093/geroni/igab046.1179 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 304-304

Author(s):

Bridget Farmer ◽

Jennifer Johnson ◽

Rodlescia Sneed

Keyword(s):

African American ◽

Social Relationships ◽

Social Engagement ◽

Successful Aging ◽

Community Dwelling ◽

Formerly Incarcerated ◽

African American Adults ◽

History Of ◽

Relationship Structure ◽

The Impact

Abstract Strong social relationships and social engagement are crucial for both successful aging and successful community re-entry after incarceration. Here, we utilized a mixed methods approach to understand the impact of incarceration on social relationships and social engagement among formerly incarcerated community-dwelling African-American adults aged >50. Participants in the 2012 or 2014 waves of the Health and Retirement Study answered questions regarding prior incarceration, social relationships, and participation in social activities. Additionally, we utilized key informant interviews to further explore how incarceration might impact relationships and social engagement. This presentation will describe quantitative associations between prior incarceration and social relationship structure & function. Further, we will use our qualitative interview data to further explore possible explanations for our findings. Finally, we will describe how MCUAAAR Scientist/Faculty interactions facilitated this work.

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SELF-REGULATION STRATEGIES IN MANAGING MULTI-MORBIDITIES AMONG COMMUNITY-DWELLING PEOPLE AGING WITH ARTHRITIS

Innovation in Aging ◽

10.1093/geroni/igz038.1162 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S318-S318

Author(s):

Wenhui Zhang ◽

Kavita Radhakrishnan ◽

Heather Becker ◽

Gayle Acton ◽

Carole K Holahan

Keyword(s):

African American ◽

Healthcare Provider ◽

Self Efficacy ◽

Self Regulation ◽

Physical Symptom ◽

Community Dwelling ◽

The Self ◽

Provider Communication ◽

Income Adequacy ◽

Regulation Strategies

Abstract Quantitative and qualitative evidence supported the self-regulation strategies of Selection, Optimization and Compensation (SR-SOC), used by people aging with single and multiple chronic conditions (MCCs) to adapt to chronic disabling symptoms and live well. This study investigated the SR-SOC Strategies in the self-management of community-dwelling people aging with arthritis and MCCs. 140 individuals aged > 50 completed the demographic questionnaire, Functional Comorbidity Index (FCI), Brief Health Literacy Screening, Lubben Social Network Scale, Patient-Healthcare Provider Communication Scale, Health Insurance Check-list, PROMIS Adult Self-Reported Health Measures, SOC Questionnaire, Arthritis Self-Efficacy Scale, Healthcare Service Utilization Questionnaire, and a visual analogue QOL scale. With the theoretical framework, multivariate hierarchical stepwise regression was used to predict SR-SOC Strategies, arthritis self-efficacy, healthcare utilizations and QOL. Majority of the sample were female (70%), with < Bachelor’s degree (56%), White (34%) or African American (33%), with personal annual income < $25,000 (52%). Thirty-seven percent reported fairly and 26% poorly adequate income. Number of FCI count ranged from 2 to 14 (Mean =3.8). The top four comorbidities were obesity, diabetes, visual impairment and degenerative disc disease. QOL ranged from 0.5 to 10.0 (Mean=7.2, SD=2.2). Age, physical symptom cluster (pain, fatigue and cognitive abilities) and healthcare provider communication quality significantly predicted SR-SOC strategies. Income adequacy, physical symptom cluster and SR-SOC strategies significantly predicted arthritis self-efficacy. FCI significantly predicted healthcare utilization total, inpatient healthcare utilization, clinician visit and hospitalization. With income adequacy, FCI significantly predicted home health visit and emergency room visit. Being African American and FCI significantly predicted prescriptions filled.

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