White and Black Differences in Perceived Access to Health and Community Services and Self-Rated Health in an Age-Friendly Community Assessment

2021 ◽  
pp. 073346482110232
Author(s):  
Jessica L. Krok-Schoen ◽  
Menglin Xu ◽  
Katie White ◽  
Jill Clutter ◽  
Holly Dabelko-Schoeny
Keyword(s):  
Older Adults ◽  
Community Services ◽  
Baseline Assessment ◽  
Regression Analyses ◽  
Community Assessment ◽  
Self Rated Health ◽  
Adult Participants ◽  
Access To Health ◽  
Age Regression ◽  
Perceived Access

Objectives: This study sought to identify the race differences in perceived access to health and community services and self-rated health (SRH) among White and Black older adult participants of an age-friendly community assessment. Methods: Responses ( n = 313) to a baseline assessment of Columbus, Ohio, residents aged ≥50 years were analyzed. Results: Significant differences were found between White and Black older adults regarding SRH, with Black older adults reporting lower SRH. Black older adults reported significantly lower perceived access to 11 out of the 13 health and community services. There were no significant differences by race regarding ratings of Columbus and personal neighborhoods as a place for people to live as they age. Regression analyses found income was a significant predictor of SRH for both White and Black older adults. Discussion: Opportunities to increase perceived access and knowledge of health and community services for older adults through targeted, equitable interventions are warranted.

scholarly journals Perceived personal deadlines for late-life preparation across adulthood

2020 ◽  
Author(s):  
Frieder R. Lang ◽  
Fiona S. Rupprecht
Keyword(s):  
Older Adults ◽  
Longitudinal Data ◽  
Social Connectedness ◽  
Late Life ◽  
Regression Analyses ◽  
Multilevel Regression ◽  
Younger Adults ◽  
Opportunity Structures ◽  
Self Rated Health ◽  
Over Time

Abstract Throughout adulthood, individuals follow personal timetables of deadlines that shape the course of aging. We examine 6-year-longitudinal data of perceived personal deadlines for starting with late-life preparation across adulthood. Findings are based on a sample of 518 adults between 18 and 88 years of age. Multilevel regression analyses were conducted to explore changes in personal deadlines for preparation in five domains (i.e., finances, end of life, housing, social connectedness, caregiving) in relation to calendar age, self-rated health, subjective position in life, and sociodemographic variables. Findings suggest that personal deadlines for starting preparatory activities differ depending on calendar age and domain of late-life preparation. Older adults as compared to younger adults are likely to report narrower deadlines for beginning with late-life preparation. Perceived deadlines for late-life preparation were furthermore found to be preponed and slightly dilated over time. Findings suggest that depending on age-graded opportunity structures, individuals flexibly adjust their personal deadlines for late-life preparation.

Access to Health Care and Self-Rated Health Among Community-Dwelling Older Adults

2001 ◽  
Vol 20 (3) ◽  
pp. 307-321 ◽  
Author(s):  
R. Turner Goins ◽  
Judith C. Hays ◽  
Lawrence R. Landerman ◽  
Gerry Hobbs
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Access To Health Care ◽  
Community Dwelling ◽  
Self Rated Health ◽  
Access To Health ◽  
Community Dwelling Older Adults

scholarly journals Differences in self-rated health among older adults according to socioeconomic circumstances: the Bambuí Health and Aging Study

2005 ◽  
Vol 21 (3) ◽  
pp. 830-839 ◽  
Author(s):  
Maria Fernanda Lima-Costa ◽  
Josélia Oliveira Araújo Firmo ◽  
Elizabeth Uchôa
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Household Income ◽  
Later Life ◽  
Access To Health Services ◽  
Physician Visits ◽  
Self Rated Health ◽  
Access To Health ◽  
Aging Study ◽  
Cruzi Infection

Self-rated health is influenced by socioeconomic circumstances, but related differences in its structure have received little attention. The objective of this study was to examine whether self-rated health structure differs according to socioeconomic circumstances in later life. The study included 1,505 individuals (86.4%) residing in Bambui and aged 60 years or older. Correlates of self-rated health among lower-income older adults (monthly household income < US$ 240.00) and higher-income seniors were assessed. Social network stood out as a major factor in the structure of self-rated health among the poorest. Psychological distress was independently associated with worse self-rated health among the poorest, while perceptions by the wealthiest were broader, including psychological distress, insomnia, Trypanosoma cruzi infection, use of medications, and access to health services. Physician visits and hospitalizations were associated with self-rated health in both groups. Our results show important differences in the structure of self-rated health according to socioeconomic circumstances and reinforce the need for policies to reduce health inequalities in later life.

Relationships Among Executive Dysfunction, Constructive Worrying, and Worry Responses in Older Adults

2020 ◽  
pp. 009141501989622
Author(s):  
Katie L. Granier ◽  
Daniel L. Segal ◽  
Frederick L. Coolidge
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Executive Dysfunction ◽  
Regression Analyses ◽  
Causal Factors ◽  
Axis Ii ◽  
Avoidance Behaviors ◽  
Core Symptom ◽  
Adult Participants ◽  
Executive Dysfunctions

Worry is a ubiquitous human experience and core symptom of anxiety. The present study examined the extent to which specific aspects of worry are related to perceived executive dysfunction in older adults. A total of 100 older adult participants ( M age = 68.82 years; range = 65–79 years) completed the Worry Behaviors Inventory, the Coolidge Axis II Inventory Executive Dysfunctions Scale, and the Constructive and Unconstructive Worry Questionnaire. Multiple regression analyses found that worry constructiveness and response behaviors were predictive of executive dysfunction. Specifically, greater avoidance behaviors and unconstructive worry were uniquely predictive of greater executive dysfunctions. Thus, findings indicate that worry constructiveness and approaches to worry management are significantly related to cognitive functioning in older adults. These findings imply a need to assess both worry and executive dysfunction to more accurately determine causal factors regarding anxiety and cognitive decline in older adults.

Promoting the Resilience of Older Adults Through Participatory Climate Change Adaptation Planning

2019 ◽  
Vol 16 (3) ◽  
Author(s):  
Jason Rhoades ◽  
James Gruber ◽  
Bill Horton
Keyword(s):  
Climate Change ◽  
Older Adults ◽  
Older Adult ◽  
Planning Process ◽  
Community Services ◽  
Adaptation Planning ◽  
Vulnerability To Climate Change ◽  
Raising Awareness ◽  
Adult Participants ◽  
City Agencies

Abstract Despite older adults’ vulnerability to climate change, little research has investigated their preferred adaptation strategies. The purpose of this paper is to provide insight into their perspective and the potential for participatory adaptation to enhance their resilience. This paper presents the results of a collaborative adaptation planning process conducted with older adults in Bridgeport, Connecticut. During two meetings, older adult participants developed recommendations following adaptation best practices. Recommendations focused on encouraging preparedness through workshops and informational materials tailored for older adults. Additional recommendations focused on enhancing community services to provide effective warning mechanisms, shelter access, ride sharing and transportation assistance, and establishing a telephone based clearinghouse for extreme weather and emergency resources for older adults. A prioritization exercise showed that the participants and city staff believed all recommendations were potentially effective and feasible. A summative evaluation showed that the participatory planning enhanced resilience by raising awareness among the older adult participants and city agencies, enhancing communication, and increasing the older adult participants’ ability to self-advocate.

scholarly journals Access to healthcare and self-rated health among refugees in transit and after arrival in Norway

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Haj-Younes ◽  
E Strømme ◽  
W Hasha ◽  
J Igland ◽  
E Abildsnes ◽  
...  
Keyword(s):  
Health Care ◽  
Host Country ◽  
Access To Health Care ◽  
Negative Impact ◽  
Minority Group ◽  
Access To Healthcare ◽  
Syrian Refugees ◽  
Self Rated Health ◽  
Perceived Access ◽  
In Transit

Abstract Background Lack of basic infrastructure and poor provision of health services in conflict settings and during flight can have a negative impact on health. The overall health status of refugees seems to improve after arrival at a safe destination. This may be related to a safer environment and better access to health care services, but prior studies on this topic are limited. This study aims to assess self-perceived access to healthcare and its relationship with self-rated health (SRH) among refugees in transit and when settled in a host country. Methods We used data from the CHART study (Changing Health and health care needs Along the Syrian Refugees' Trajectories to Norway), which includes a cohort of 353 Syrian refugees who were contacted in 2017-2018 in Lebanon while waiting for relocation, and one year after their arrival to Norway. Information on self-perceived access to healthcare and its association with SRH was analyzed separately at each time-point. Data analysis was performed with STATA using logistic regression adjusting for age, gender, ethnicity and years of education and presented as adjusted odds ratios (AOR) with 95% CI. Results Fifteen percent reported good access to healthcare and 62% reported good SRH in Lebanon vs. 91% and 77% respectively, in Norway. Measures in Lebanon showed no association between access to healthcare and good SRH (AOR: 1.2 (0.6-2.2)), and men reported worse access to healthcare than women (AOR: 0.5 (0.3-1.0). In Norway, access to healthcare was strongly associated with good SRH (AOR: 4.7 (2.1-10.7) and was negatively associated with belonging to one specific minority group (AOR: 0.1 (0.0-0.3)). Conclusions Both SRH and perceived access to care improved from being in transit to being settled in Norway, the latter substantially more. There was a significant association between access to healthcare and good SRH after the refugees' arrival to a safe host country but not in transit. Key messages Refugee’s self-reported health and access to healthcare seem to improve shortly after arrival to a host country. To ensure that the UN’S Sustainable Development Goals concerning health equity are reached, refugees’ access to healthcare in transit and its impact on overall health needs to be addressed.

scholarly journals The effects of social comparisons on subjective age and self-rated health

2021 ◽  
pp. 1-14
Author(s):  
Maayan Sayag ◽  
Gitit Kavé
Keyword(s):  
Older Adults ◽  
Comparison Group ◽  
Peer Group ◽  
Social Comparisons ◽  
Subjective Health ◽  
Subjective Age ◽  
Negative Effects ◽  
Younger Adults ◽  
Self Rated Health ◽  
Selection Of

Abstract Older adults consistently report young subjective age and provide high ratings of their subjective health. The current research examined which social comparisons older adults make when they assess their subjective age and health, as well as the effects of experimentally manipulated social comparisons on these assessments. In Study 1, 146 participants (aged 60 and over) reported to whom they compared themselves when assessing their subjective age or health. In Study 2, 100 participants (aged 60 and over) reported their subjective age and health after receiving feedback that compared them to younger adults or to their peers. Study 1 shows that participants compared themselves primarily to their peer group. Yet, individuals who selected a younger comparison group when assessing subjective age reported a younger subjective age, better self-rated health and more positive expectations regarding ageing relative to those who selected their peers as a comparison group. No equivalent differences emerged in any of the measures when participants were divided by their selection of comparison group after providing their self-rated health ratings. In Study 2, feedback that emphasised the performance of younger people led to reports of younger subjective age relative to feedback that emphasised peer performance, with no equivalent difference for self-rated health. These findings help explain why older adults feel younger and healthier than they actually are. We suggest that older adults use social comparisons as a strategy that protects them from the negative effects of ageing on self-perception.

scholarly journals Older Adults’ Subjective Well-being Following an Exergame Intervention “Bandit the Dolphin”: Focus Group Findings

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 169-170
Author(s):  
Brittany Drazich ◽  
Breanna Crane ◽  
Kyle Moored ◽  
Karl Shieh ◽  
Janiece Taylor ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Illness ◽  
Focus Groups ◽  
Well Being ◽  
Community Dwelling ◽  
Mental Illness Stigma ◽  
Subjective Well Being ◽  
Future Health ◽  
Adult Participants

Abstract Due to generational mental illness stigma and under diagnosis of mental illness, older adults do not always receive the mental health help that they need. One unique technology that has the potential to improve mood in older adults is exergames, or exercise video games. The objective of this sub-study (main study: Stimulation With Intricate Movements “SWIM” Study) was to explore older adults’ mood following an exergame intervention called “Bandit the Dolphin,” created by the Johns Hopkins KATA Studio. Researchers conducted three focus groups with 14 community-dwelling older adult participants who took part in the SWIM Study exergame intervention. The semi-structured focus groups were transcribed, coded, and analyzed using deductive and inductive techniques described by Ray Maietta’s “sort and sift, think and shift” method. Three themes related to playing “Bandit the Dolphin” and mood emerged. First, participants described their perceived association between activity and mood. Participants felt that both active and passive activities, “Bandit the Dolphin” and otherwise, improved their mood through the “fun” factor, and through feelings of achievement. Second, the participants described that the competition and frustration of playing “Bandit the Dolphin” increased eventual feelings of achievement. Third, participants described how feelings of immersion, or being absorbed in the game, helped them forget their other life concerns. These findings provide a better understanding of older adults’ perceived relationship between an exergame intervention, “Bandit the Dolphin,” and short-term improved mood. Future health and engineering researchers should explore exergames as a potential tool to improve the mental health of older adults.

scholarly journals Profile Groups Based on Lifestyle and Differences in Mental Health and Cognition

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 404-404
Author(s):  
Joseph Kim ◽  
Kyuree Kim
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Latent Class ◽  
Mail Survey ◽  
Later Life ◽  
Self Rated Health ◽  
Final Sample ◽  
Group 2 ◽  
Mean Differences

Abstract The purpose of this study was to identify the profiles of older adults according to lifestyle. Data for the study were from the 2017 Consumption and Activities Mail Survey (CAMS). CAMS 2017 is a questionnaire mailed to a sub-sample of respondents from the Health and Retirement Study. Participants were limited to older adults 65 and older, and the final sample consisted of 1136 older adults. The sample included 443 men and 693 women. Caucasians comprised 82.0% of the participants. Lifestyle was measured through items assessing the amount of time spent on activities. Due to high skewness, the items were dichotomized, 0=no time spent on activity and 1=time spent on the activity. Latent class analysis (LCA) was performed to identify groups based on lifestyle. LCA is a person-centered approach for identifying unobserved subgroups based on similarity in responses to items. Three lifestyle groups were identified. Group 1 was “Outgoing” with 471 individuals. Group 2 was “Adequate” with 229 individuals. Group 3 was “Inactive” with 436 individuals. An ANOVA was then conducted to assess mean differences in self-rated health, cognition, depressive symptoms, and loneliness for the three lifestyle groups. The “Outgoing” and “Adequate” groups had significantly higher scores on self-rated health and cognition, and in addition, significantly lower scores on depressive symptoms and loneliness compared to the “Inactive” group. No significant differences were observed between the “Outgoing” and “Adequate” groups. An implication from this study is the importance of maintaining an active lifestyle in later life for better mental health and cognition.

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