scholarly journals Racial/Ethnic and Nativity Differences in Cognitive Life Expectancies Among Older Adults in the United States

2017 ◽  
Vol 59 (2) ◽  
pp. 281-289 ◽  
Author(s):  
Marc A Garcia ◽  
Brian Downer ◽  
Chi-Tsun Chiu ◽  
Joseph L Saenz ◽  
Sunshine Rote ◽  
...  
Keyword(s):  
United States ◽  
Older Adults ◽  
The United States ◽  
Racial Ethnic

scholarly journals Dementia Care in Diverse Older Adults in the U.S. Deep South and the Rest of the United States

2021 ◽  
pp. 1-13
Author(s):  
Maria Pisu ◽  
Roy C. Martin ◽  
Liang Shan ◽  
Giovanna Pilonieta ◽  
Richard E. Kennedy ◽  
...  
Keyword(s):  
United States ◽  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Drug Use ◽  
Ethnic Groups ◽  
The United States ◽  
Deep South ◽  
Racial Ethnic ◽  
The U.S

Background: Use of specialists and recommended drugs has beneficial effects for older adults living with Alzheimer’s disease and related dementia (ADRD). Gaps in care may exist for minorities, e.g., Blacks, and especially in the United States (U.S.) Deep South (DS), a poor U.S. region with rising ADRD cases and minority overrepresentation. Currently, we have little understanding of ADRD care utilization in diverse populations in this region and elsewhere in the U.S. (non-DS), and the factors that adversely impact it. Objective: To examine utilization of specialists and ADRD drugs (outcomes) in racial/ethnic groups of older adults with ADRD and the personal or context-level factors affecting these outcomes in DS and non-DS. Methods: We obtained outcomes and personal-level covariates from claims for 127,512 Medicare beneficiaries with ADRD in 2013–2015, and combined county-level data in exploratory factor analysis to define context-level covariates. Adjusted analyses tested significant association of outcomes with Black/White race and other factors in DS and non-DS. Results: Across racial/ethnic groups, 33%–43% in DS and 43%–50% in non-DS used specialists; 47%–55% in DS and 41%–48% in non-DS used ADRD drugs. In adjusted analyses, differences between Blacks and Whites were not significant. Vascular dementia, comorbidities, poverty, and context-level factor “Availability of Medical Resources” were associated with specialist use; Alzheimer’s disease and senile dementia, comorbidities, and specialist use were associated with drug use. In non-DS only, other individual, context-level covariates were associated with the outcomes. Conclusion: We did not observe significant gaps in ADRD care in DS and non-DS; however, research should further examine determinants of low specialist and drug use in these regions.

scholarly journals Multicultural voices: attitudes of older adults in the United States of America about elder mistreatment

2012 ◽  
Vol 34 (5) ◽  
pp. 877-903 ◽  
Author(s):  
SUSAN M. ENGUIDANOS ◽  
MARGUERITE DELIEMA ◽  
IRIS AGUILAR ◽  
JORGE LAMBRINOS ◽  
KATHLEEN H. WILBER
Keyword(s):  
United States ◽  
Older Adults ◽  
United States Of America ◽  
Partner Violence ◽  
Elder Abuse ◽  
The United States ◽  
Care Needs ◽  
Elder Mistreatment ◽  
Care Givers ◽  
Racial Ethnic

ABSTRACTDespite international growth in policies to increase the identification and response to elder abuse and neglect, there remain considerable barriers to treating the problem. Some of these barriers may be attributed to how older adults from different racial/ethnic backgrounds define, experience and seek to remedy elder mistreatment. Using focus group discussions based on case vignettes, this paper examines how older adults from different racial and ethnic backgrounds in the United States of America perceive elder mistreatment. Five focus groups were conducted with African Americans, English-speaking Latinos, Spanish-speaking Latinos, non-Latino Whites and African American care-givers for older adults. While similar definitions and meanings of elder abuse were expressed across the different racial/ethnic groups, Latino participants introduced additional themes of machismo, respect, love and early intervention to stop abuse, suggesting that perceptions/beliefs about elder mistreatment are determined by culture and degree of acculturation in addition to race/ethnicity. Most differences in attitudes occurred within groups, demonstrating that perceptions vary by individual as well as by culture. In identifying scenarios that constitute elder mistreatment, some participants felt that certain cases of abuse are actually the persistence of intimate partner violence into old age. Participants also indicated that victims may prefer to tolerate mistreatment in exchange for other perceived benefits (e.g. companionship, security); and out of fear that they could be placed in an institution if mistreatment is reported. Findings suggest the need for person-centred intervention and prevention models that integrate the cultural background, care needs and individual preferences of older adults.

scholarly journals Diverse, Culturally Rich Approaches to Family Care in the United States

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 269-269
Author(s):  
Lauren Parker ◽  
Manka Nkimbeng
Keyword(s):  
United States ◽  
Older Adults ◽  
Family Care ◽  
The United States ◽  
Minority Populations ◽  
Culturally Tailored ◽  
The Us ◽  
Ethnic Minority Populations ◽  
Definition Of ◽  
Racial Ethnic

Abstract Despite the projected rise in the diversity of caregivers and caregiving in the US, the health system is not prepared to accommodate this growth. Interventions and supports often are not adequately tailored to meet the cultural needs of older adults. Additionally, the limited interventions available for racial/ethnic minority populations frequently fail to capture and report culturally tailored perspectives. Therefore, the purpose of this presentation is to describe how culture influences caregiving in the US. Specifically, it will: (1) provide a contemporary definition of culture; (2) identify cultural domains that impact caregiving; (3) offer examples of how caregiving is influenced by different cultural/demographic backgrounds; (4) provide examples of culturally tailored caregiving programs, and (5) discuss how to approach cultural needs that may not be addressed by current interventions.

scholarly journals Dementia Caregiving Research: Expanding and Reframing the Lens of Diversity, Inclusivity, and Intersectionality

2020 ◽  
Vol 60 (5) ◽  
pp. 797-805 ◽  
Author(s):  
Peggye Dilworth-Anderson ◽  
Heehyul Moon ◽  
María P Aranda
Keyword(s):  
United States ◽  
Older Adults ◽  
The United States ◽  
Dementia Caregiving ◽  
Policy Practice ◽  
Care Recipients ◽  
Questions And Answers ◽  
Effective Policy ◽  
Diverse Groups ◽  
Racial Ethnic

Abstract This forum expands and reframes the lens of dementia caregiving research among diverse racial and ethnic groups to better understand the unique needs, stressors, and strengths of multicultural and racial-ethnic family caregivers in the United States. By providing more diverse and inclusive knowledge on caregiving to older adults in the United States, we can create a new path forward with regards to caregiving research. Throughout the article, major questions and answers are supported by critiquing some of the caregiving literature. Discussions are provided to help create inclusive ways of conceptualizing caregiving research and using methodological approaches to reflect the diversity of caregivers and care recipients in the United States. Expanding and reframing the conceptual and methodological lens of diversity, inclusivity and intersectionality can provide evidence to support effective policy, practice, and care in addressing the needs of diverse groups of caregivers and older adults living with dementia.

1488-P: Closing the Racial/Ethnic Disparity Gap in Kidney Failure from Diabetes in the United States, 2000-2016

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1488-P
Author(s):  
NILKA RIOS BURROWS ◽  
YAN ZHANG ◽  
ISRAEL A. HORA ◽  
MEDA E. PAVKOV ◽  
GIUSEPPINA IMPERATORE
Keyword(s):  
United States ◽  
Kidney Failure ◽  
The United States ◽  
Ethnic Disparity ◽  
Racial Ethnic
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