Environment-Stratified Age-Period-Cohort Effects on the Prevalence of Walking Among Older Adults

2021 ◽  
pp. 1-7
Author(s):  
Dong Ha Kim ◽  
Heewon Kang ◽  
Seunghyun Yoo
Keyword(s):  
Older Adults ◽  
Environmental Conditions ◽  
Rural Areas ◽  
Active Aging ◽  
The Past ◽  
Period Effects ◽  
Metropolitan Cities ◽  
Community Health Survey ◽  
Nationally Representative ◽  
Distinct Period

Walking promotes active aging; however, walking prevalence changes among older adults by age and environmental conditions remain unclear. Age-period-cohort (APC) differences in walking trends among Korean older adults were examined. Data included adults aged ≥ 65 years (n = 592,235) from the nationally representative Korean Community Health Survey. Regional units examined were metropolitan cities, small- and medium-sized cities, and rural areas. Environment-stratified APC modeling was applied for walking prevalence (walking days/time during the past week). From 2008 to 2017, the walking prevalence gap between regional units widened. Decreasing trends were most apparent in rural areas, including by birth year. In all areas, walking decreased with increased age. No distinct period effects were found. Each effect’s magnitude was larger in rural areas than cities. Differential APC effects by environmental conditions likely influence walking prevalence changes among older adults. Walking promotion for older adults should consider APC effects and environmental conditions.

Methodological Dimensions of Delineating Peri-urban Areas: The Case of Kolkata Metropolis

2020 ◽  
Vol 11 (2) ◽  
pp. 183-194
Author(s):  
Dinabandhu Mondal ◽  
Sucharita Sen
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Urban Spaces ◽  
The Past ◽  
Social Transitions ◽  
Complex Interactions ◽  
Metropolitan Cities ◽  
Municipal Boundaries ◽  
The City ◽  
Complex Characters

In the past few decades, due to urbanization and spatial expansion of cities beyond their municipal boundaries, complex interactions between the city and its surrounding rural areas have occurred, resulting in the formation of peri-urban spaces or zones of transition. There is a plurality of definitions for these peri-urban spaces, due to their diverse character in terms of land and water use, livelihood shifts, demographic and social transitions. Most peri-urban areas, specifically those around large metropolitan cities, are increasingly assuming complex characters, which call for governance structures beyond rural–urban binaries. For any administrative intervention of a serious nature in peri-urban areas, a standard methodology for demarcation of these spaces is required. This article is an attempt to develop and apply such a methodology beyond the existing ones, using government sources of data, in the case of Kolkata Metropolis. This article uses socio-economic and land-use characteristics to achieve this objective. It finds that peri-urban spaces do not necessarily develop uniformly around the city; instead, they are fragmented and could be located both near or relatively far from urban areas.

scholarly journals Functional Hearing Loss and Social Engagement Among Medicare Beneficiaries

2019 ◽  
Vol 76 (1) ◽  
pp. 195-200 ◽  
Author(s):  
Aishwarya Shukla ◽  
Thomas K M Cudjoe ◽  
Frank R Lin ◽  
Nicholas S Reed
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Social Engagement ◽  
Social Activity ◽  
Medicare Beneficiaries ◽  
Cross Sectional ◽  
The Past ◽  
Hearing Ability ◽  
Nationally Representative ◽  
Using Data

Abstract Objectives Hearing loss is common in older adults and limits communication. We investigated the independent association between functional hearing loss and social engagement in a nationally representative sample of older adults. Methods Using data from the 2015 Medicare Current Beneficiaries Survey, we modeled the cross-sectional association between self-reported hearing ability and limitation in social activity over the past month using multivariable logistic regression. Results The majority of the study population was female (54.8%) and non-Hispanic white (74.3%). Participants (40.4%) reported “a little trouble” hearing and 7.4% reported “a lot of trouble” hearing. Those who reported any trouble hearing had higher odds of limited social engagement in the past month. After adjustment for demographic, clinical, and functional covariates, those who reported “a lot of trouble” hearing had 37% higher odds of limited social activity in the past month compared to those with normal hearing. Discussion These results suggest that hearing loss may be an important risk factor for limited social engagement and downstream negative health consequences, independent of other disability and health conditions.

Prevalence of Elder Polyvictimization in the United States: Data From the National Elder Mistreatment Study

2017 ◽  
Vol 35 (21-22) ◽  
pp. 4517-4532 ◽  
Author(s):  
Joah L. Williams ◽  
Elise H. Racette ◽  
Melba A. Hernandez-Tejada ◽  
Ron Acierno
Keyword(s):  
United States ◽  
Older Adults ◽  
Daily Living ◽  
Elder Abuse ◽  
The United States ◽  
Multiple Forms ◽  
Elder Mistreatment ◽  
The Past ◽  
States Data ◽  
Nationally Representative

Elder abuse, including emotional, physical, sexual, financial, and neglectful mistreatment is widespread in the United States, with as much as 11% of community-residing older adults experiencing some form of abuse in the past year. Little data exist regarding the prevalence of polyvictimization, or experience of multiple forms of abuse, which may exacerbate negative outcomes over that of any one form of victimization in isolation. This study evaluates the prevalence of elder polyvictimization among a nationally representative sample of community-residing U.S. older adults. Data from the National Elder Mistreatment Study were examined using bivariate and logistic regression analyses. Approximately, 1.7% of older adults experienced past-year polyvictimization, for which risk factors included problems accomplishing activities of daily living (odds ratio [OR] = 2.47), low social support (OR = 1.64), and past experience of traumatic events (OR = 4.81). Elder polyvictimization is a serious problem affecting community-residing older adults with identifiable targets for intervention.

scholarly journals Loneliness Among Chinese Older Adults: The Role of Grandparenthood and Grandparental Childcare by Gender

2021 ◽  
pp. 0192513X2110419
Author(s):  
Jing Zhang ◽  
Tineke Fokkema ◽  
Bruno Arpino
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Protective Factor ◽  
Active Aging ◽  
Chinese Older Adults ◽  
Lower Likelihood ◽  
Grandparental Childcare ◽  
Nationally Representative ◽  
The Relationship

This study examines the influence of grandparenthood and grandparental childcare on loneliness among Chinese older adults. Using longitudinal data from a nationally representative sample of 9240 individuals from the China Health and Retirement Longitudinal Study (CHARLS), we applied logistic regression to examine the relationship between various grandparental statuses and loneliness with a focus on gender. The grandparental role is a protective factor for loneliness. Providing care to grandchildren was associated with a lower likelihood of feeling lonely for both genders. Among grandmothers, the benefit of providing childcare is less when it is occasional. Among grandfathers, the benefit is less when it is regular and intensive. Regarding transitions in grandparental status, gender differences were only observed among those who recently entered the caregiving role. Given the increasing reliance on grandparents for childcare in China, this engagement in active aging is beneficial for older adults in reducing loneliness.

Self-reported disposal of leftover opioids among US adults 50–80

2020 ◽  
Vol 45 (12) ◽  
pp. 949-954
Author(s):  
Calista M Harbaugh ◽  
Preeti Malani ◽  
Erica Solway ◽  
Matthias Kirch ◽  
Dianne Singer ◽  
...  
Keyword(s):  
Older Adults ◽  
Healthy Aging ◽  
Response Rate ◽  
Population Based ◽  
Opioid Prescription ◽  
Web Based ◽  
The Past ◽  
National Poll ◽  
Nationally Representative ◽  
Opioid Medications

ObjectiveTo test the association between self-reported opioid disposal education and self-reported disposal of leftover opioids among older adults.DesignWeb-based survey from the National Poll on Healthy Aging (March 2018) using population-based weighting for nationally representative estimates.SubjectsOlder adults aged 50–80 years who reported filling an opioid prescription within the past 2 years.MethodsRespondents were asked whether they received education from a prescriber or pharmacist on how to dispose of leftover opioids and whether they disposed of leftover opioids from recent prescriptions. The association between self-reported opioid disposal education and self-reported disposal of leftover opioids was estimated with multivariable logistic regression, testing for interactions with respondent demographics.ResultsAmong 2013 respondents (74% response rate), 596 (28.9% (26.8%–31.2%)) were prescribed opioids within the past 2 years. Education on opioid disposal was reported by 40.1% of respondents (35.8%–44.5%). Among 295 respondents with leftover medication, 19.0% (14.6%–24.5%) disposed of the leftover medications. Opioid disposal education was associated with a greater likelihood of self-reported disposal of leftover opioids among non-white respondents as compared with white non-Hispanic respondents (36.7% (16.8%–56.6%) vs 7.8% (0.1%–15.6%), p<0.01).ConclusionsIn this nationally representative survey, 49% had leftover opioids, yet only 20% of older adults reported disposal of leftover opioids. Opioid disposal education was variable in delivery, but was associated with disposal behaviors among certain populations. Strategies to promote disposal should integrate patient education on the risks of leftover opioid medications and explore additional barriers to accessing opioid disposal methods.

scholarly journals Comparison of the specific mortality rates in town and country districts of Scotland since 1871

1940 ◽  
Vol 40 (4) ◽  
pp. 423-433 ◽  
Author(s):  
R. S. Barclay ◽  
W. O. Kermack ◽  
A. G. McKendrick
Keyword(s):  
Nineteenth Century ◽  
Environmental Conditions ◽  
Rural Areas ◽  
Mortality Rates ◽  
European Countries ◽  
Health Conditions ◽  
The Past ◽  
Specific Mortality ◽  
Urban And Rural Areas ◽  
The Town

1. An analysis by the “generation mortality” method of the specific mortality rates of the urban and rural areas of Scotland for various calendar periods from 1871 onwards shows that the “diagonal law” previously demonstrated for the population of Scotland as a whole, as well as for certain other European countries, holds for these two subdivisions of the community.2. Reasons are given for the assumption that the normalized “generation mortality coefficients” (α values) may be taken as a rough measure of the “healthiness” of the environmental conditions which obtained during the childhood of the generation to which they refer. This affords a basis for the comparison of the “healthiness” of the environment of town and country at different periods in the past.3. Whereas in the earlier half of the nineteenth century the ratio of the α values of country to town was in the neighbourhood of 0·6, indicating that the health conditions in the country might be said to be almost twice as good as in the towns, in 1931 it had risen to almost unity, showing that by that time the town had almost if not quite made up on the country. During this period both town and country conditions showed remarkable improvements, which are reflected in falls of the respective α (× 1000) values in the country from about 12 and in the town from over 20 in 1841, to a common level of about 4·7 in 1931.4. The essential vagueness of the conception of the “healthiness” of an environment is emphasized. It is consequently necessary not to attach too great importance to the estimate of the date, but the figures given in Table 5 confirm the conclusion that, as regards “healthiness”, between 1930 and 1935 conditions in town and country had become nearly equal.

Nationally Representative Health Care Expenditures of Community-Based Older Adults with Pain in the United States Prescribed Opioids vs Those Not Prescribed Opioids

Pain Medicine ◽  
2020 ◽  
Author(s):  
David R Axon ◽  
Marion Slack ◽  
Leila Barraza ◽  
Jeannie K Lee ◽  
Terri Warholak
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Emergency Room ◽  
Health Care Expenditures ◽  
Medical Expenditure ◽  
Community Based ◽  
Opioid Prescription ◽  
The Past ◽  
Nationally Representative ◽  
Prescription Status

Abstract Objective To compare health care expenditures between older US adults (≥50 years) with pain who were prescribed opioid medications and those who were not. Design Cross-sectional. Setting Community-based adults in the 2015 Medical Expenditure Panel Survey (MEPS). Subjects Nationally representative sample of US adults alive for the calendar year, aged 50 years or older, who reported having pain in the past four weeks. Methods Older US adults (≥50 years) with pain in the 2015 MEPS data were identified. The key independent variable was opioid prescription status (prescribed opioid vs not prescribed opioid). Hierarchical linear regression models assessed health care expenditures (inpatient, outpatient, office-based, emergency room, prescription medications, other, and total) in US dollars for opioid prescription status from a community-dwelling US population perspective, adjusting for covariates. Results The 2015 study cohort provided a national estimate of 50,898,592 noninstitutionalized US adults aged ≥50 years with pain in the past four weeks (prescribed opioid N = 16,757,516 [32.9%], not prescribed opioid N = 34,141,076 [67.1%]). After adjusting for covariates, individuals prescribed an opioid had 61% greater outpatient (β = 0.477, P &lt; 0.0001), 69% greater office-based (β = 0.524, P &lt; 0.0001), 14% greater emergency room (β = 0.131, P = 0.0045), 63% greater prescription medication (β = 0.486, P &lt; 0.0001), 29% greater other (β = 0.251, P = 0.0002), and 105% greater total (β = 0.718, P &lt; 0.0001) health care expenditures. There was no difference in opioid prescription status for inpatient expenditures (P &gt; 0.05). Conclusions This study raises awareness of the economic impact associated with opioid use among US older adults with pain. Future research should investigate these variables in greater depth, over longer time periods, and in additional populations.

scholarly journals Multifaceted sleep health score is associated with frailty in a national sample of older adults in Taiwan: Sex matters

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1047-1048
Author(s):  
Tuo Yu Chen ◽  
Soomi Lee ◽  
Orfeu Buxton
Keyword(s):  
Older Adults ◽  
Sex Education ◽  
Chronic Conditions ◽  
National Sample ◽  
Sleep Health ◽  
The Past ◽  
Multidimensional Measure ◽  
Multiple Dimensions ◽  
Nationally Representative ◽  
Sleep Satisfaction

Abstract Although individual sleep characteristics are related to frailty, these characteristics do not occur separately. A multidimensional measure of sleep might provide a better estimation of frailty compared to isolated sleep characteristics. This study investigated the association of a multidimensional measure of sleep health with frailty and examined whether such relationship differed by sex. Data were from the Taiwan Longitudinal Study on Aging (2011), a survey with a nationally representative sample of Taiwanese older adults (N=2,015). Frailty was defined using the Fried-criteria. Self-reported sleep during the past month was used to conceptualize the five sleep health dimensions in the SATED model (satisfaction-alertness-timing-efficiency-duration; higher scores representing better sleep health). Their relationship was estimated using logistic regression analysis adjusting for sociodemographic (age, sex, education), health (chronic conditions, cognitive function, pain, depressive symptoms [excluding items overlapping with frailty and sleep]), and lifestyle (drinking, smoking, exercise) characteristics. The results showed that having a better sleep health composite score was significantly related to lower odds of being frail in both sexes adjusting for sociodemographic information. Such effect remained significant among females but not males after adding health and lifestyle characteristics to the models. Sleep satisfaction and daytime alertness in both sexes and sleep duration among females were significantly associated with frailty adjusting for sociodemographic information. Only alertness among males was significantly related to frailty in model with all covariates. Our findings show that having a better sleep health across multiple dimensions is related to a lower risk of being frail, and the association differs by sex.

scholarly journals The Utilization of Antidepressants and Benzodiazepines among People with Major Depression in Canada

2011 ◽  
Vol 56 (11) ◽  
pp. 667-676 ◽  
Author(s):  
Chiranjeev Sanyal ◽  
Mark Asbridge ◽  
Steve Kisely ◽  
Ingrid Sketris ◽  
Pantelis Andreou
Keyword(s):  
Major Depression ◽  
Clinical Guidelines ◽  
Severe Depression ◽  
Well Being ◽  
Canadian Community Health Survey ◽  
Sampling Weights ◽  
The Past ◽  
Younger Age ◽  
Community Health Survey ◽  
Nationally Representative

Objective: Although clinical guidelines recommend monotherapy with antidepressants (ADs) for major depression, polypharmacy with benzodiazepines (BDZs) remains an issue. Risks associated with such treatments include tolerance and dependence, among others. We assessed the prevalence and determinants of AD and BDZ utilization among Canadians who experienced a major depressive episode (MDE) in the previous 12 months, and determined the association of seeing a psychiatrist on the utilization of ADs and BDZs. Method: Data were drawn from the 2002 Canadian Community Health Survey: Health and Well-Being, a nationally representative sample of Canadians aged 15 years and older. Descriptive statistics quantified utilization, while logistic regression identified factors associated with utilization, such as sociodemographic characteristics or type of physician seen. Sampling weights and bootstrap variance estimations were used for all analysis. Results: The overall prevalence of AD and BDZ utilization was 49.3% of respondents who experienced an MDE in the past 12 months and reported AD use. Key determinants of utilization were younger age and unemployment in the past week (OR 2.6; P < 0.001). Being seen by a psychiatrist increased utilization (OR 2.5; P < 0.001), possibly because psychiatrists were seeing patients with severe depression. Conclusion: A large proportion of people with past-year MDEs utilized ADs and BDZs. It is unclear how much of this is appropriate given that evidence-based clinical guidelines recommend monotherapy with ADs in the treatment of major depression.

scholarly journals Incidence of frailty among community-dwelling older adults: a nationally representative profile in China

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Weihao Xu ◽  
Ya-Xi Li ◽  
Chenkai Wu
Keyword(s):  
Older Adults ◽  
Incidence Rate ◽  
Rural Areas ◽  
Geographic Region ◽  
Adverse Outcomes ◽  
Community Dwelling ◽  
Frailty Phenotype ◽  
Chinese Older Adults ◽  
Nationally Representative ◽  
Community Dwelling Older Adults

Abstract Background Frailty is a clinically recognizable state of reduced resilience to stressors and increased vulnerability to adverse outcomes. The majority of studies have focused on the prevalence and risk factors of frailty, while the incidence of frailty has not been well documented, especially in less developed regions including China—a country that has the largest aging population in the world. We investigated the incidence of frailty among non-frail Chinese older adults by sociodemographic characteristics, disease burden, and geographic region. Methods Participants were 4939 adults aged ≥60 years from the China Health and Retirement Longitudinal Study, a cohort study of a nationally representative sample of middle-aged and older community-dwelling adults from 28 provinces in China. Frailty was assessed by an adapted version of the well-validated Fried’s physical frailty phenotype, in which five criteria were included: weakness, slowness, exhaustion, physical inactivity, and shrinking. Results Over an average of 2.1 years of follow-up (10,514.2 person-years), the weighted incidence rate of frailty was 60.6 per 1000 person-years; the incidence rate was 28.8 and 86.6 per 1000 person-years for those who were initially robust and prefrail, respectively. Participants who were older and widowed, had lower education and household income, lived in rural areas, and had higher burden of chronic conditions had higher frailty incidence. Frailty incidence ranged from 44.8 per 1000 person-years in the Southeast to 93.0 per 1000 person-years in the Northwest. Conclusions Incidence rate of frailty was 60.6 per 1000 person-years among community-living Chinese adults aged ≥ 60 years. Substantial sociodemographic and geographical disparities exist in frailty incidence.

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