scholarly journals Residential Segregation and Hypertension Prevalence in Black and White Older Adults

2016 ◽  
Vol 37 (2) ◽  
pp. 177-202 ◽  
Author(s):  
Therri Usher ◽  
Darrell J. Gaskin ◽  
Kelly Bower ◽  
Charles Rohde ◽  
Roland J. Thorpe
Keyword(s):  
Older Adults ◽  
Logistic Models ◽  
Poverty Level ◽  
Related Factors ◽  
Poor Whites ◽  
Neighborhood Poverty ◽  
Black And White ◽  
White Neighborhoods ◽  
Health Related ◽  
Blacks And Whites

Purpose: The purpose of this article was to assess segregation’s role on race differences in hypertension among non-Hispanic Blacks and Whites aged 50 and over. Method: Hypertension was defined as systolic blood pressure (BP) ≥ 140 mmHg, diastolic BP ≥ 90 mmHg, or self-reported antihypertensive medication use. Segregation measures combined race, neighborhood racial composition, and individual and neighborhood poverty level. Logistic models produced odds ratios and 95% confidence intervals (CIs) for each segregation category, adjusting for health-related factors. Results: Blacks in Black (OR = 2.54, CI = [1.61, 4.00]), White (OR = 2.56, CI = [1.24, 5.31]), and integrated neighborhoods (OR = 3.23, CI = [1.72, 6.03]) had greater odds of hypertension compared with Whites in White neighborhoods. Poor Whites in poor neighborhoods (OR = 1.74, CI = [1.09, 2.76]), nonpoor Blacks in nonpoor (OR = 3.03, CI = [1.79, 5.12]) and poor neighborhoods (OR = 4.08, CI = [2.16, 7.70]), and poor Blacks in nonpoor (OR = 4.35, CI = [2.17, 8.73]) and poor neighborhoods (OR = 2.75, CI = [1.74, 4.36]) had greater odds compared with nonpoor Whites in nonpoor neighborhoods. Conclusion: Interventions targeting hypertension among older adults should consider neighborhood compositions.

scholarly journals Social and Health‐Related Factors Associated with Enrollment in Medicare Advantage Plans in Older Adults

2019 ◽  
Vol 68 (2) ◽  
pp. 313-320
Author(s):  
Amit Kumar ◽  
Maricruz Rivera‐Hernandez ◽  
Amol M. Karmarkar ◽  
Lin‐Na Chou ◽  
Yong‐Fang Kuo ◽  
...  
Keyword(s):  
Older Adults ◽  
Medicare Advantage ◽  
Related Factors ◽  
Factors Associated ◽  
Health Related

scholarly journals Self-reported cataracts in older adults in Ghana: sociodemographic and health related factors

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Alfred E Yawson ◽  
Edith M Ackuaku-Dogbe ◽  
Nana A Hagan Seneadza ◽  
George Mensah ◽  
Nadia Minicuci ◽  
...  
Keyword(s):  
Older Adults ◽  
Related Factors ◽  
Health Related

Nutritional status and its health-related factors among older adults in rural and urban areas

2014 ◽  
Vol 71 (1) ◽  
pp. 42-53 ◽  
Author(s):  
Su-Hui Chen ◽  
Hsin-Yi Cheng ◽  
Yeu-Hui Chuang ◽  
Jung-Hua Shao
Keyword(s):  
Older Adults ◽  
Nutritional Status ◽  
Urban Areas ◽  
Related Factors ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Health Related

scholarly journals Changes in the Prevalence of Disability among Older Adults in India: Longitudinal Influence of Socio-economic and Health-related Factors

2021 ◽  
Author(s):  
Ronak Paul ◽  
Shobhit Srivast ◽  
Muhammad Thalil ◽  
Rashmi Rashmi
Keyword(s):  
Older Adults ◽  
Wealth Quintile ◽  
The Elderly ◽  
Double Burden ◽  
Related Factors ◽  
Disability Status ◽  
Health Related ◽  
Multiple Variable ◽  
Socio Demographic Factors ◽  
Multiple Variable Regression

Abstract Background: While experiencing a double burden of both communicable and non-communicable diseases, three-fourth of the Indian population aged 50 and above are suffering from some form of disability. Existing studies on physical limitations highlight the determinants of late-life disabilities, however, limited evidence has shown how the socio-economic and health-related factors influence the elderly recovering or acquiring disability status in the Indian context. Method: The current study uses two waves of the India Human Development Survey (IHDS) and is based on panel data of 10527 older adults. Both bivariate and multiple variable regression analysis were performed using two binary outcome variables in this study – whether older adults acquired disability and recovered from disability between round-I and round-II, respectively.Results: Nearly 31.5% and 4.4% of older adults have acquired and recovered disability across the two rounds respectively. 38.5% and 45.8% of female older adults’ disability status changes to disable and recovered in round 2 respectively. A lesser proportion of older adults have recovered from a disability who have a chronic disease in round 1. Cataract chronic conditions among older adults in round 1 had shown 1.45 times (CI: 1.07-1.97) a significantly higher likelihood of acquiring disability in round 2. Older adults who were unmarried and were not working in round 1 have 1.12 times (CI: 1.01-1.25) and 1.21 times (CI: 1.06-1.39) a higher likelihood of acquiring disability in round 2 respectively. Recovering from disability was mostly seen among older adults who belong to the richest (OR: 2.38, CI: 1.31-4.33) and medium (OR: 2.16, CI: 1.27-3.69) wealth quintile households. Older adults residing in the central region of India have 2.72 times (CI: 2.31-3.19) significantly higher chance of acquiring disability than those who were residing in northern regions.Conclusion: Appropriate measures are required to highlight the importance of chronic physical diseases and several socio-demographic factors that may negatively affect the trajectory of disability in older ages.

scholarly journals Why Do Older Adults Play Golf? An Evaluation of Factors Related to Golf Participation by Older Adults

2020 ◽  
Vol 28 (3) ◽  
pp. 399-405
Author(s):  
Brad J. Stenner ◽  
Amber D. Mosewich ◽  
Jonathan D. Buckley
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Older Population ◽  
Related Factors ◽  
Health Related ◽  
Questionnaire Online

Golf is a popular sport for older adults, and is therefore an important source of physical activity. This study investigated the reasons for golf participation in an older population using the Golf Participation Questionnaire for Older Adults. The participants (N = 3,262, 82.5% male) completed the questionnaire online. The most important reasons for participation were fun, a pleasant playing environment, and competition, with reasons related to health being relatively less important. The female participants rated fun, a pleasant playing environment, and a feeling that participation made them part of a community as more important reasons for participating than males. Although health-related factors were identified as important reasons for golf participation in older adults, non-health-related factors were also more important. Strategies to promote golf participation by older adults, as a means of increasing physical activity, should emphasize aspects related to fun, a pleasant playing environment, and engagement in competition.

scholarly journals Determinants of acquired disability and recovery from disability in Indian older adults: longitudinal influence of socio-economic and health-related factors

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ronak Paul ◽  
Shobhit Srivastava ◽  
T. Muhammad ◽  
Rashmi Rashmi
Keyword(s):  
Older Adults ◽  
Functional Disability ◽  
Wealth Quintile ◽  
National Sample ◽  
Acquired Disability ◽  
Related Factors ◽  
Disability Status ◽  
Health Related ◽  
Multiple Variable ◽  
Multiple Variable Regression

Abstract Background There is a higher burden of functional disability for Indian older adults with substantial variations across different geographic regions and socioeconomic groups as compared to other ageing Asian countries. Thus, using a national sample of older adults aged 60+ years, we aim to explore how common is acquiring of disability and recovery from disability among the older population of a developing country like India, and how do the various socioeconomic and health-related conditions impact this transition in disability status. Method The current study uses two waves of the India Human Development Survey (IHDS) and is based on panel data of 10,527 older adults. Both bivariate and multiple variable regression analysis were performed using two binary outcome variables in this study – whether older adults acquired disability and recovered from disability between round-I and round-II, respectively. Results Nearly 31.5% and 4.4 % of older adults have acquired and recovered disability across the two rounds respectively. About 38.5%  and 45.8 % of female older adults’ disability status changes to disable and recovered in round-II respectively. A lesser proportion of older adults have recovered from a disability who have a chronic disease in round-I. Cataract chronic conditions among older adults in round-I had shown 1.45 times (CI: 1.07–1.97) a significantly higher likelihood of acquiring disability in round-I. Older adults who were unmarried and were not working in round-I have 1.12 times (CI: 1.01–1.25) and 1.21 times (CI: 1.06–1.39) higher likelihood of acquiring disability in round-II respectively. Recovering from disability was mostly seen among older adults who belong to the richest (OR: 2.38, CI: 1.31–4.33) and medium (OR: 2.16, CI: 1.27–3.69) wealth quintile households. Older adults residing in the central region of India have 2.72 times (CI: 2.31–3.19) significantly higher chance of acquiring disability than those who were residing in northern regions. Conclusion Appropriate measures are required to highlight the importance of chronic physical diseases and several socio-demographic factors that may negatively affect the trajectory of disability in older ages.

scholarly journals Hospitalization-Associated Change in Gait Speed and Risk of Functional Limitations for Older Adults

2019 ◽  
Vol 74 (10) ◽  
pp. 1657-1663 ◽  
Author(s):  
Wei Duan-Porter ◽  
Tien N Vo ◽  
Kristen Ullman ◽  
Lisa Langsetmo ◽  
Elsa S Strotmeyer ◽  
...  
Keyword(s):  
Older Adults ◽  
Gait Speed ◽  
Odds Ratio ◽  
Functional Limitations ◽  
Functional Decline ◽  
Community Dwelling ◽  
Black And White ◽  
Body Composition Study ◽  
Health Aging ◽  
Health Related

Abstract Background Hospitalization-associated functional decline is a common problem for older adults, but it is unclear how hospitalizations affect physical performance measures such as gait speed. We sought to determine hospitalization-associated change in gait speed and likelihood of new limitations in mobility and activities of daily living (ADLs). Methods We used longitudinal data over 5 years from the Health, Aging and Body Composition Study, a prospective cohort of black and white community-dwelling men and women, aged 70–79 years, who had no limitations in mobility (difficulty walking 1/4 mile or climbing 10 steps) or ADLs (transferring, bathing, dressing, and eating) at baseline. Gait speed, and new self-reported limitations in mobility and ADLs were assessed annually. Selected participants (n = 2,963) had no limitations at the beginning of each 1-year interval. Hospitalizations were self-reported every 6 months and verified with medical record data. Generalized estimating equations were used to examine hospitalization-associated change in gait speed and odds of new limitations over each 1-year interval. Fully adjusted models included demographics, hospitalization within the past year, health conditions, symptoms, body mass index, and health-related behaviors. Results In fully adjusted models, any hospitalization was associated with decrease in gait speed (−0.04 m/s; 95% confidence interval [CI]: −0.05 to −0.03) and higher odds of new limitations in mobility or ADLs (odds ratio = 1.97, 95% CI: 1.70–2.28), and separately with increased odds of new mobility limitation (odds ratio = 2.22, 95% CI: 1.90–2.60) and new ADL limitations (odds ratio = 1.84, 95% CI: 1.53–2.21). Multiple hospitalizations within a year were associated with gait speed decline (−0.06 m/s; 95% CI: −0.08 to −0.04) and greater odds of new limitations in mobility or ADLs (odds ratio = 2.96, 95% CI: 2.23–3.95). Conclusions Functionally independent older adults experienced hospitalization-associated declines in gait speed and new limitations in mobility and ADLs.

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