scholarly journals THE ASSOCIATION OF OPTIMISM AND COGNITIVE FUNCTION IN OLDER ADULTS: FINDINGS FROM THE HEALTH AND RETIREMENT STUDY

2015 ◽  
Vol 55 (Suppl_2) ◽  
pp. 214-214
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Health And Retirement Study ◽  
Retirement Study

Abstract P288: Association Between Vision Impairment and Cognitive Decline in Older Adults With Stroke: Health and Retirement Study

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Kimberly Hreha ◽  
Brian Downer ◽  
Joshua R Ehrlich ◽  
Giulio Taglialatela
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Cognitive Decline ◽  
Visual Impairment ◽  
Vision Impairment ◽  
Health And Retirement Study ◽  
Stroke Survivors ◽  
Fair Poor ◽  
Retirement Study ◽  
Good Vision

Introduction: Nearly 800,000 people in the United States sustain a stroke each year. Up to 60% of stroke survivors have visual impairments and/or ocular deficits, which may negatively impact functional performance, quality of life, and increase the risk for depression. Poor vision has been associated with cognitive decline in older adults, but little is known if vision impairment is a risk factor for cognitive decline among older adults who have survived a stroke. The purpose of this study was to evaluate the association between vision impairment and cognitive decline among stroke survivors and compare the cognitive trajectories of stroke survivors with and without visual impairment. Methods: We used data from four waves (2010-2016) of the Health and Retirement Study to investigate the cognitive health of stroke survivors with and without visual impairment. Vision (excellent-very good [ref], good, fair-poor) and stroke diagnosis were self-reported. Cognition was measured using the Telephone Interview for Cognitive Status. Linear mixed effects regression was used to model the association between overall, near, and far vision and change in cognitive function, adjusting for confounders. Results: The final sample included 1,475 stroke survivors. A majority were female (55.6%) and white (66.3%) and the mean age was 71.0 (11.7). Fair-poor overall ( B =-1.30, p <0.01), near ( B =-1.53, p <0.001), and far ( B =-1.27, p <0.001) vision, as well as good near ( B =-0.82, p <0.001) and far ( B =-0.48, p <0.05) vision were associated with significantly lower baseline cognitive function compared to excellent-very good vision. The association between self-rated vision and cognition decline was not statistically significant. Conclusions: We found that people with worst vision had lower cognitive functioning but not greater cognitive decline than stroke survivors with excellent-to-very good vision. Further research should investigate if specific types of vision impairment potentiate the risk of cognitive impairment and dementia in stroke survivors.

scholarly journals INTERNET USE AND LONELINESS OF OLDER ADULTS OVER TIME: THE MEDIATION EFFECT OF SOCIAL CONTACT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S194-S194
Author(s):  
Kexin Yu ◽  
Kexin Yu ◽  
Shinyi Wu ◽  
Iris Chi
Keyword(s):  
Older Adults ◽  
Older People ◽  
Internet Use ◽  
Social Contact ◽  
Total Effect ◽  
Mediation Effect ◽  
Health And Retirement Study ◽  
Longitudinal Association ◽  
Retirement Study ◽  
Over Time

Abstract Internet is increasingly popular among older adults and have changed interpersonal interactions. However, it remains controversial whether older people are more or less lonely with internet use. This paper tests the longitudinal association of internet use and loneliness among older people. One pathway that explains the association, the mediation effect of social contact, was examined. Data from the 2006, 2010 and 2014 waves of Health and Retirement Study was used. Hierarchical liner modeling results showed internet use was related to decreased loneliness over 12-year period of time (b=-0.044, p&lt;.001). Internet use was associated with more social contact with family and friends overtime (b=0.261, p&lt;.001), social contact was related to less perceived loneliness longitudinally (b=0.097, p&lt;.001). The total effect of internet use on loneliness is -0.054 and the mediated effect is -0.025. The findings imply that online activities can be effective for reducing loneliness for older people through increased social contact.

scholarly journals Everyday Discrimination and Kidney Function Among Older Adults: Evidence From the Health and Retirement Study

2019 ◽  
Vol 75 (3) ◽  
pp. 517-521
Author(s):  
Ryon J Cobb ◽  
Roland J Thorpe ◽  
Keith C Norris
Keyword(s):  
Older Adults ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Kidney Function ◽  
The United States ◽  
Health And Retirement Study ◽  
Disease Epidemiology ◽  
Lower Egfr ◽  
Everyday Discrimination ◽  
Retirement Study

Abstract Background With advancing age, there is an increase in the time of and number of experiences with psychosocial stressors that may lead to the initiation and/or progression of chronic kidney disease (CKD). Our study tests whether one type of experience, everyday discrimination, predicts kidney function among middle and older adults. Methods The data were from 10 973 respondents (ages 52–100) in the 2006/2008 Health and Retirement Study, an ongoing biennial nationally representative survey of older adults in the United States. Estimated glomerular filtration rate (eGFR) derives from the Chronic Kidney Disease Epidemiology Collaboration equation. Our indicator of everyday discrimination is drawn from self-reports from respondents. Ordinary Least Squared regression (OLS) models with robust standard errors are applied to test hypotheses regarding the link between everyday discrimination and kidney function. Results Everyday discrimination was associated with poorer kidney function among respondents in our study. Respondents with higher everyday discrimination scores had lower eGFR after adjusting for demographic characteristics (B = −1.35, p &lt; .05), and while attenuated, remained significant (B = −0.79, p &lt; .05) after further adjustments for clinical, health behavior, and socioeconomic covariates. Conclusions Our study suggests everyday discrimination is independently associated with lower eGFR. These findings highlight the importance of psychosocial factors in predicting insufficiency in kidney function among middle-aged and older adults.

Predictors of use of digital technology for communication among older adults: analysis of data from the health and retirement study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Brady Lund
Keyword(s):  
Older Adults ◽  
Technology Adoption ◽  
Digital Technology ◽  
Psychological Factors ◽  
Self Esteem ◽  
Health And Retirement Study ◽  
Intellectual Curiosity ◽  
Mixed Effect ◽  
Content Type ◽  
Retirement Study

Purpose This study aims to examine the potential impact of eleven social and psychological factors – anxiety, closeness with family and friends, intellectual curiosity, life control, life satisfaction, physical health, religiosity, self-esteem, sociability, socioeconomic status and works status and demands – on the use of digital technology by older adults for the purpose of communicating with family and friends. Design/methodology/approach A path analysis, which uses ordinary least squares regression to examine relationships among variables, is used to perform a secondary analysis of data from the 2018 Health and Retirement Study. A correlation matrix, which displays the direct relationships among variables, is also incorporated. Findings Statistically significant direct influences are revealed between the use of digital technology for communication and three factors: intellectual curiosity, self-esteem, and sociability. These three factors are themselves moderated by the influences of the remaining eight factors. While most factors relate to an increase in the adoption of social uses of digital technology, increased anxiety and increased work demands (for those who are employed) are related to decreased adoption, while increased religiosity has a mixed effect (reduced intellectual curiosity but increased sociability). These findings suggest a few avenues for identifying and intervening in the lives of physically and socially isolated older adults, by illuminating correlates of technology adoption. Originality/value While many studies have examined factors that correlate to increased technology adoption, this study is original in that it focuses specifically on the use of digital technology for communication with family and friends (i.e. use of email, messaging, social media) while also focusing on social and psychological factors (many of which can be changed through intervention) rather than innate and uncontrollable factors like age, gender and ethnicity.

scholarly journals When Culture Influences Genes: Positive Age Beliefs Amplify the Cognitive-Aging Benefit of APOE ε2

2020 ◽  
Vol 75 (8) ◽  
pp. e198-e203
Author(s):  
Becca R Levy ◽  
Martin D Slade ◽  
Robert H Pietrzak ◽  
Luigi Ferrucci
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cognitive Function ◽  
Environmental Factors ◽  
Cognitive Aging ◽  
Self Perceptions ◽  
Cognitive Benefit ◽  
Study Participants ◽  
The Impact ◽  
Retirement Study

Abstract Objectives Most studies of aging cognition have focused on risk factors for worse performance and on either genetic or environmental factors. In contrast, we examined whether 2 factors known to individually benefit aging cognition may interact to produce better cognition: environment-based positive age beliefs and the APOE ε2 gene. Method The sample consisted of 3,895 Health and Retirement Study participants who were 60 years or older at baseline and completed as many as 5 assessments of cognition over 8 years. Results As predicted, positive age beliefs amplified the cognitive benefit of APOE ε2. In contrast, negative age beliefs suppressed the cognitive benefit of APOE ε2. We also found that positive age beliefs contributed nearly 15 times more than APOE ε2 to better cognition. Discussion This study provides the first known evidence that self-perceptions can influence the impact of a gene on cognition. The results underscore the importance of combined psychosocial and biological approaches to understanding cognitive function in older adults.

How Self-Employed Older Adults Differ by Age: Evidence and Implications From the Health and Retirement Study

2020 ◽  
Author(s):  
Cal J Halvorsen
Keyword(s):  
Older Adults ◽  
Binary Logistic Regression ◽  
Later Life ◽  
Safety Net ◽  
Risk Tolerance ◽  
Health And Retirement Study ◽  
Retirement Benefits ◽  
Self Employment ◽  
Design And Methods ◽  
Retirement Study

Abstract Background and Objectives There has been increased attention in recent years on self-employment in later life, with about 1 in 5 workers past of the age of 50 working for themselves. This study aims to build upon previous documentation of the characteristics of self-employed older adults by estimating how these characteristics vary by age. Research Design and Methods Using 7 waves of the Health and Retirement Study with a sample of more than 16,000 working older adults, this study considers how the association between self-employment and sociodemographic characteristics; indicators of human, social, and financial capital; and risk tolerance differ between adults aged 50–61 and 62 years and older. Binary logistic regression and seemingly unrelated estimation are used to estimate and compare the characteristics by age group. Results Compared to wage-and-salary work and controlling for all other factors in the models, the oldest self-employed group was more likely to identify as Black, report lower health, and receive health insurance from several sources than the younger group. Further, the older group reported lower individual earnings from work yet higher total household income (less individual earnings) and was also less likely to formally volunteer at the highest commitment levels. Discussion and Implications With some exceptions, these results indicate that the diversity of self-employed older adults within traditional retirement age is greater than among those before this age. Implications regarding how access to key safety net programs, such as Social Security retirement benefits and Medicare, may lead to this finding are discussed.

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