scholarly journals Telemedicine Readiness Across Medical Conditions in a US National Representative Sample of Older Adults

2021 ◽  
pp. 073346482110562
Author(s):  
Jorge M. Rodríguez-Fernández ◽  
Emily Danies ◽  
Nicolas Hoertel ◽  
William Galanter ◽  
Hugo Saner ◽  
...  
Keyword(s):  
Older Adults ◽  
National Health ◽  
Representative Sample ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
Substantial Role ◽  
Mood Symptoms ◽  
The Us ◽  
National Representative Sample

Telemedicine has provided older adults the ability to seek care remotely during the coronavirus disease (COVID-19) pandemic. However, it is unclear how diverse medical conditions play a role in telemedicine uptake. A total of 3379 participants (≥65 years) were interviewed in 2018 as part of the National Health and Aging Trends Study. We assessed telemedicine readiness across multiple medical conditions. Most chronic medical conditions and mood symptoms were significantly associated with telemedicine unreadiness, for physical or technical reasons or both, while cancer, hypertension, and arthritis were significantly associated with telemedicine readiness. Our findings suggest that multiple medical conditions play a substantial role in telemedicine uptake among older adults in the US. Therefore, comorbidities should be taken into consideration when promoting and adopting telemedicine technologies among older adults.

Chronic Medical Conditions and Risk of Fall Injury Events at Home in Older Adults

1997 ◽  
Vol 45 (6) ◽  
pp. 739-743 ◽  
Author(s):  
James G. Herndon ◽  
Charles G. Helmick ◽  
Richard W. Sattin ◽  
Judy A. Stevens ◽  
Carolee DeVito ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
Fall Injury ◽  
Risk Of Fall ◽  
At Home

scholarly journals Drinking Patterns of Older Adults with Chronic Medical Conditions

2013 ◽  
Vol 28 (10) ◽  
pp. 1326-1332 ◽  
Author(s):  
Marian Ryan ◽  
Elizabeth L. Merrick ◽  
Dominic Hodgkin ◽  
Constance M. Horgan ◽  
Deborah W. Garnick ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Medical Conditions ◽  
Drinking Patterns ◽  
Medical Conditions

scholarly journals Depression Treatment Status of Economically Disadvantaged African American Older Adults

2020 ◽  
Vol 10 (3) ◽  
pp. 154
Author(s):  
Sharon Cobb ◽  
Mohsen Bazargan ◽  
Jessica Castro Sandoval ◽  
Cheryl Wisseh ◽  
Meghan C. Evans ◽  
...  
Keyword(s):  
Older Adults ◽  
African American ◽  
High Risk ◽  
Educational Attainment ◽  
Pain Intensity ◽  
Economically Disadvantaged ◽  
Polynomial Regression ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
Treatment Status

Background: It is known that depression remains largely untreated in underserved communities. Hence, it is desirable to gain more knowledge on the prevalence and correlates of untreated depression among African-American (AA) older adults in economically disadvantaged areas. This knowledge may have the public health benefit of improving detection of AA older adults with depression who are at high risk of not receiving treatment, thereby reducing this health disparity. Objective: To study health and social correlates of untreated depression among AA older adults in economically disadvantaged areas. Methods: Between 2015 and 2018, this cross-sectional survey was conducted in South Los Angeles. Overall, 740 AA older adults who were 55+ years old entered this study. Independent variables were age, gender, living arrangement, insurance type, educational attainment, financial strain, chronic medical conditions, and pain intensity. Untreated depression was the dependent variable. Logistic and polynomial regression models were used to analyze these data. Results: According to the polynomial regression model, factors such as number of chronic medical conditions and pain intensity were higher in individuals with depression, regardless of treatment status. As our binary logistic regression showed, age, education, and number of providers were predictive of receiving treatment for depression. Conclusion: Age, educational attainment, number of providers (as a proxy of access to and use of care) may be useful to detect AA older adults with depression who are at high risk of not receiving treatment. Future research may focus on decomposition of the role of individual-level characteristics and health system-level characteristics that operate as barriers and facilitators to AA older adults receiving treatment for depression.

scholarly journals Pain Intensity among Community-Dwelling African American Older Adults in an Economically Disadvantaged Area of Los Angeles: Social, Behavioral, and Health Determinants

2019 ◽  
Vol 16 (20) ◽  
pp. 3894 ◽  
Author(s):  
Meghan C. Evans ◽  
Mohsen Bazargan ◽  
Sharon Cobb ◽  
Shervin Assari
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Los Angeles ◽  
Pain Intensity ◽  
Economically Disadvantaged ◽  
Community Dwelling ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
Disadvantaged Area ◽  
Financial Difficulties

Background. Although social, behavioral, and health factors influence prevalence and intensity of pain, very few studies have investigated correlates of pain among economically disadvantaged older African American (AA) adults. Objective. This study explored social, behavioral, and health correlates of pain intensity among community-dwelling AA older adults in an economically disadvantaged area of Los Angeles. Methods. A cross-sectional study on 740 AA older adults (age ≥ 55 years) was conducted in South Los Angeles between 2015 and 2018. Exploratory variables were age, gender, educational attainment, financial difficulties, living alone, marital status, smoking, drinking, pain-related chronic medical conditions (CMCs), and depressive symptoms. Dependent variable was pain intensity. Linear regression was used for data analysis. Results. Age, financial difficulties, living alone, smoking, pain-related chronic medical conditions, and depressive symptoms were associated with pain intensity. Individuals with lower age, higher financial difficulties, those who lived alone, those with a higher number of pain-related chronic medical conditions, more depressive symptoms, and nonsmokers reported more pain intensity. Gender, educational attainment, marital status, and drinking were not associated with pain intensity. Conclusion. The results may help with the health promotion of economically disadvantaged AA older adults in urban areas.

Exercise and Cognitive Function: Increased Fitness Improves Cognition in Older Adults and Those with Chronic Medical Conditions

2016 ◽  
Vol 5 (2) ◽  
pp. 21-27
Author(s):  
Andrew Fedor ◽  
Fawn Walter ◽  
Joel W. Hughes ◽  
John Gunstad
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Cognitive Functioning ◽  
Clinical Utility ◽  
Regular Exercise ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
Future Studies ◽  
Neurological Outcomes ◽  
Positive Effects

Cognitive functioning may be preserved or improved through exercise. Both acute and regular exercise have positive effects on cognition, particularly on measures of attention, executive functioning, and memory. Improving fitness may be especially beneficial to cognitive function in older adults and persons with chronic medical conditions. Future studies should identify the mechanisms for these benefits and seek to determine the clinical utility of routinely recommending exercise to promote better neurological outcomes.

Comorbidity, health status, and quality of life in institutionalized older people with and without dementia

2013 ◽  
Vol 25 (7) ◽  
pp. 1077-1084 ◽  
Author(s):  
Salomé Martín-García ◽  
Carmen Rodríguez-Blázquez ◽  
Iluminada Martínez-López ◽  
Pablo Martínez-Martín ◽  
Maria João Forjaz
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Status ◽  
Residential Care ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
People With Dementia ◽  
Eq Vas ◽  
Urinary Problems

ABSTRACTBackground: Comorbidity in older adults may lead to lower perceived health status and a decrease in quality of life (QoL). The objective of this study is to analyze the relationship between comorbidity, health status, QoL, and dementia in institutionalized older adults.Methods: Cross-sectional, multicenter study in residential care settings in Spain. Two groups of institutionalized older adults of 60 years of age and older were compared: 234 persons with normal cognitive function and 525 with dementia according to DSM-IV-TR criteria. Assessments included: sociodemographic questionnaire, EQ-5D index for health-related QoL, Visual Analogue Scale (EQ-VAS) for health status, number of chronic medical conditions (comorbidity), Barthel Index for functional independence, and Short Portable Mental Status Questionnaire.Results: The group with dementia presented significantly worse QoL, health, and functional status than people without dementia. The most prevalent chronic medical conditions were musculoskeletal (72.3%), followed by genito-urinary disorders (60.2%). Controlling for age and sex, people with dementia and higher comorbidity exhibited lower EQ-VAS scores; however, no significant difference was found for the EQ-5D index. The health conditions that contributed the most to the EQ-VAS differences between the dementia and non-dementia groups were sight, oral, and genito-urinary problems.Conclusions: When compared to older adults with no dementia, people with dementia and high comorbidity reported the most compromised health status, especially in those with sight, oral, and genito-urinary problems. These differences should be taken into consideration when selecting strategies to maintain and improve the health status of older adults in residential care settings.

scholarly journals The Effect of Chronic Medical Conditions on Functional Capacity Changes in Japanese Community-Dwelling Older Adults

2000 ◽  
Vol 8 (2) ◽  
pp. 148-161 ◽  
Author(s):  
Yoshinori Fujiwara ◽  
Shoji Shinkai ◽  
Shuichiro Watanabe ◽  
Shu Kumagai ◽  
Takao Suzuki ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Older Adults ◽  
Functional Capacity ◽  
Community Dwelling ◽  
Chronic Obstructive ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
Obstructive Pulmonary Disease ◽  
Japanese Older Adults ◽  
Community Dwelling Older Adults

This study investigated the effect of chronic medical conditions on changes in functional capacity in Japanese older adults. Participants comprised 1,518 people aged 65-84 living in an urban and a rural community. They were interviewed to determine the presence of chronic medical conditions and assessed for functional capacity using the Tokyo Metropolitan Institute of Gerontology (TMIG) Index of Competence. Follow-up occurred 4 years later. Statistical analysis revealed that self-reported medical conditions at baseline contributed to declines in the TMIG Index over the 4 years, even after participants’ age, sex, educational attainment, and baseline TMIG level were controlled for. In the urban area, chronic obstructive pulmonary disease, diabetes mellitus, and musculoskeletal disease significantly predicted decline in the index, whereas in the rural area, hypertension and diabetes mellitus were significant predictors. These results indicate the importance of controlling chronic medical conditions in order to prevent further declines in functional capacity in older adults.

scholarly journals Moderation of the Association Between Chronic Medical Conditions and Functional Limitations Over Time by Physical Activity: Effects of Age

2019 ◽  
Vol 75 (1) ◽  
pp. 168-174 ◽  
Author(s):  
Jerrald L Rector ◽  
Kristine Marceau ◽  
Elliot M Friedman
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Chronic Conditions ◽  
Functional Limitations ◽  
The United States ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
Buffering Effect ◽  
Age Related ◽  
Over Time

Abstract Background Age-related accumulation of chronic medical conditions increases disability in older adults. Physical activity potently combats chronic conditions and disability. However, it is unclear whether activity maintenance alleviates the effects of chronic conditions on disability and if this buffering effect differs with age. This study examined whether long-term physical activity can forestall functional limitations in the face of accumulating chronic conditions among middle-aged and older adults. Methods Participants (n = 2,119; 54.7% female) were from the Survey of Midlife Development in the United States. Self-reported physical activity, number of chronic conditions, and functional limitations were obtained across 18–20 years. Functional limitations were regressed against the change in chronic conditions, physical activity, and their interaction over time in a multilevel model of change. Baseline age was added as an additional moderator. Results Faster accumulation of chronic conditions [B(SE) = 2.08(0.32), p < .001] and steeper declines in activity [B(SE) = −2.29(0.41), p < .001] were associated with greater increases in functional limitations over time. Among those with faster-than-average increases in conditions, those who maintained activity had a slower progression of functional limitations, compared to those whose activity declined more rapidly [B(SE) = −11.18(3.96), p = .005]. Baseline age moderated the buffering effect of activity maintenance; older adults were protected against functional limitations only when conditions accumulated slowly [B(SE) = 0.23(0.08), p = .005]. Conclusion This study provides evidence for an age-dependent buffering effect of activity maintenance on the longitudinal relationship between chronic conditions and functional limitations. Intervention strategies using physical activity to forestall disability should target midlife adults and consider the rate of condition accumulation.

Sign in / Sign up

Export Citation Format

Share Document