Factors Associated With Living in Developmental Centers in California

2009 ◽  
Vol 47 (2) ◽  
pp. 108-124 ◽  
Author(s):  
Charlene Harrington ◽  
Taewoon Kang ◽  
Jamie Chang
Keyword(s):  
Intellectual Disability ◽  
Developmental Disabilities ◽  
Living Arrangements ◽  
Secondary Data ◽  
The Elderly ◽  
Older Individuals ◽  
Complex Needs ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
At Home

Abstract This study examined need, predisposing, market, and regional factors that predicted the likelihood of individuals with developmental disabilities living in state developmental centers (DCs) compared with living at home, in community care, or in intermediate care (ICFs) and other facilities. Secondary data analysis using logistic regression models was conducted for all individuals ages 21 years or older who had moderate, severe, or profound intellectual disability. Client needs were the most important factors associated with living arrangements, with those in DCs having more complex needs. Men had higher odds of living in DCs than in other settings, whereas older individuals had lower odds of living in DCs than in ICFs for persons with developmental disabilities and other facilities. Asians/Pacific Islanders, African Americans, and Hispanics were less likely to live in DCs than to live at home. The supply of residential care beds for the elderly reduced the likelihood of living in DCs, and the odds of living in a DC varied widely across regions. Controlling for need, many other factors predicted living arrangements. Policymakers need to ensure adequate resources and provider supply to reduce the need by individuals with intellectual disability to live in DCs and to transition individuals from DCs into other living arrangements.

scholarly journals Factors associated with the whole foods consumption by adults and elderly

2021 ◽  
Vol 10 (12) ◽  
pp. e84101219843
Author(s):  
Patricia Thomazi ◽  
Camila Elizandra Rossi ◽  
Eloá Angélica Koehnlein ◽  
Jucieli Weber
Keyword(s):  
Odds Ratio ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Positive Influence ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Overweight People ◽  
Regular Consumption ◽  
Whole Foods

Objectives: Evaluate associated factors to the consumption of whole foods by adults and elderly people. Methods: Cross-sectional study carried out in a municipality in the southwest of Paraná, in which an interview was conducted, comprising 41 objective questions, in adults and the elderly. The factors associated with the consumption of whole foods were evaluated using logistic regression models. Results: The sample consisted of 388 people, predominantly of women, white people, resident in the urban area, with more than 11 years of schooling belonging to socioeconomic class B2-C1. More than a half of the participants reported consuming whole foods (54.6%), however, 21.23% consumed them of irregular form. It was noticed that the female people (Odds Ratio: 2.24; CI 95%=1.38-3.65), physically actives (Odds Ratio: 3.33; CI 95%=1.89–5.87), and that had a greater knowledge about whole foods (Odds Ratio: 1.66; CI 95%=1.01–2.74) had greater chances of consuming them. Related to the regular consumption of these foods, overweight people (Odds Ratio: 0.45; CI 95%=0.21–0.96) presented less chances of ingestion, and the mean of communication and the health professional (Odds Ratio: 2.78; CI 95%=1.07–7.18) presented positive influence in regular consumption of whole foods. Conclusions: There is a need to increase the consumption of whole foods in specific audiences, such as men, sedentary, lower economic class, individuals who do not have knowledge about whole foods and those who are overweight.

scholarly journals COVID-19 IDD: A global survey exploring the impact of COVID-19 on individuals with intellectual and developmental disabilities and their caregivers

2020 ◽  
Vol 3 ◽  
pp. 39 ◽  
Author(s):  
Christine Linehan ◽  
Tal Araten-Bergam ◽  
Julie Beadle-Brown ◽  
Christine Bigby ◽  
Gail Birkbeck ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
Developmental Disabilities ◽  
Living Arrangements ◽  
Online Survey ◽  
Healthcare Access ◽  
National Level ◽  
Lessons Learned ◽  
Intellectual And Developmental Disabilities ◽  
Survey Team ◽  
The Impact

Background: This protocol outlines research to explore the impact of coronavirus disease 2019 (COVID-19) on individuals who have intellectual and developmental disabilities and their caregivers. Evidence suggests that people with intellectual and developmental disabilities experience disparities in healthcare access and utilisation. This disparity was evident early in the pandemic when discussions arose regarding the potential exclusion of this population to critical care. Methods: An anonymous online survey will be conducted with caregivers, both family members and paid staff, to explore the impact of COVID-19 on this population in terms of demographics, living arrangements, access to services, the impact of social distancing, and also carer wellbeing. The survey will be developed by the research team, many of whom are experts in intellectual disability within their own jurisdictions. Using back-translation our team will translate the survey for distribution in 16 countries worldwide for international comparison. The survey team have extensive personal and professional networks in intellectual disability and will promote the survey widely on social media with the support of local disability and advocacy agencies. Statistical descriptive and comparative analyses will be conducted. Ethical approval has been obtained for this study from University College Dublin’s Human Research Ethics Committee (HS-20-28-Linehan). Dissemination: Study findings will be prepared in a number of formats in order to meet the needs of different audiences. Outputs will include academic papers, lessons learned paper, practice guidelines, reports, infographics and video content. These outputs will be directed to families, frontline and management delivering disability services, national-level policy makers, healthcare quality and delivery authorities, national pandemic organisations and international bodies.

scholarly journals Social distancing during the COVID-19 pandemic: quantifying the practice in Michigan – a “hotspot state” early in the pandemic – using a volunteer-based online survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Andrea E. Cassidy-Bushrow ◽  
Mohammed Baseer ◽  
Karen Kippen ◽  
Albert M. Levin ◽  
Jia Li ◽  
...  
Keyword(s):  
Online Survey ◽  
State Level ◽  
The United States ◽  
Older Individuals ◽  
Executive Orders ◽  
Social Distancing ◽  
Logistic Regression Models ◽  
Individual Level ◽  
Factors Associated ◽  
Potential Factors

Abstract Background Public Health policies related to social distancing efforts during the COVID-19 pandemic helped slow the infection rate. However, individual-level factors associated with social distancing are largely unknown. We sought to examine social distancing during the COVID-19 pandemic in Michigan, an infection “hotspot” state in the United States early in the pandemic. Methods Two surveys were distributed to Michigan residents via email lists and social media following COVID-19 related state mandates in March; 45,691 adults responded to the first survey and 8512 to the second. Staying home ≥ 3 out of 5 previous days defined having more social distancing. Logistic regression models were used to examine potential factors associated with more social distancing. Results Most respondents were women (86% in Survey 1, 87% in Survey 2). In Survey 1, 63% reported more social distancing, increasing to 78% in Survey 2. Female sex and having someone (or self) sick in the home were consistently associated with higher social distancing, while increasing age was positively associated in Survey 1 but negatively associated in Survey 2. Most respondents felt social distancing policies were important (88% in Survey 1; 91% in Survey 2). Conclusions Michiganders responding to the surveys were both practicing and supportive of social distancing. State-level executive orders positively impacted behaviors early in the COVID-19 pandemic in Michigan. Additional supports are needed to help vulnerable populations practice social distancing, including older individuals.

scholarly journals Risk Factors of Dementia in Elderly of Bandung City, Indonesia: A Community-Dwelling Study

2020 ◽  
Vol 7 (4) ◽  
Author(s):  
Sarah Fitri Janaris ◽  
Sharon Gondodiputro ◽  
Nita Arisanti
Keyword(s):  
Risk Factors ◽  
Social Participation ◽  
Living Arrangements ◽  
Cognitive Disorders ◽  
Secondary Data ◽  
The Elderly ◽  
Multiple Organ ◽  
Education Level ◽  
Community Dwelling ◽  
Cross Sectional

Background: Multiple organ degenerative processes are parts of a normal biological process in aging. One of the geriatric syndromes is cognitive disorders that range from a mild cognitive impairment to dementia. The aim of this study was to analyze factors contributing to the occurrence of dementia in the elderly. Methods: A cross-sectional analytical study was conducted using secondary data on 306 elderly people who visited the Integrated Health Post (Pos Pembinaan Terpadu, Posbindu) from June to August 2016 in Bandung City, Indonesia. Nine variables were included in this study: age, gender, education level, marital status, occupation, living arrangements, social participation, comorbidity, and dementia. The dementia status was measured by the Mini-Mental State Examination and Mini Cog Assessment instruments. Data were then analyzed statistically using Chi-Square, Fisher Exact, and Kolmogorov-Smirnov tests, as well as using the multivariate logistic regression. Results: Around 35.3% (95%CI=30%–40.6%) of respondents had dementia. There were relationships between dementia and age (p=0.035), level of education (p=0.000), and social participation (p=0.001). Social participation was the most dominant risk factor of dementia (OR=2.703;95%CI=1.491-4.902). Conclusions: Age, education level, and social participation are risk factors that contribute to dementia. The elderly who has less than two times per week of social participation has a 2.7 times higher risk for having dementia compared to the elderly who has more than two times per week of social participation.

scholarly journals Equity and Elderly Health in India: Reflections from 75th Round National Sample Survey, 2017-18, amidst the COVID-19 Pandemic

2020 ◽  
Author(s):  
Alok Ranjan ◽  
Muraleedharan V R
Keyword(s):  
Living Arrangements ◽  
Urban Areas ◽  
Outpatient Visit ◽  
Secondary Data ◽  
The Elderly ◽  
National Sample ◽  
Sample Survey ◽  
Income Quintile ◽  
General Category ◽  
National Sample Survey

Abstract Background: Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) outbreak, called coronavirus disease - 2019 (COVID-19), has affected more than 200 countries across the globe with a higher fatality rate in the elderly population. Historical experience shows that the pandemic disproportionately afflicts the socioeconomically disadvantaged population. Aim of the study is to highlight the vulnerability of the aged amidst the current pandemic, in the light of the recent international evidence, and what government could do to mitigate their vulnerability.Methods: Data from the recently released (November 2019) 75 th Round National Sample Survey (NSS), which was conducted from July 2017 to June 2018, across 8077 rural villages and 6181 urban wards was used for this study. Data collected from 555115 individuals (rural: 325232; urban: 229232) included that of 42762 elderly individuals (60 years or above). Bivariate and multivariate analysis was used for the calculation.Results: 27.7 % of elderly reported suffering from any ailment in the last 15 days, whereas 8.5% had hospitalization during the last 365 days. Hospitalization rate was higher in the urban areas (OR: 1.21), general category (OR: 1.18), richest economic quintile (OR: 1.68), and among elderly living alone (OR: 2.05), which was statistically significant. 64% of the scheduled tribe and 51.0% of the poorest income quintile elderly utilized public facilities during hospitalization. Cardiovascular ailments were major cause for hospitalization (18.1%) and outpatient visit (32.0%) in the elderly. Diabetes and hypertension together constituted 55% of outpatient visit for the elderly. 18.9% of the elderly has health insurance though chances of facing catastrophic health expenditure was high in the elderly. 6.6% of elderly female and 1.6% male live alone, and 27.5% of elderly of age 80 years or above are immobile. 50% of male and 90% of female are financially dependent on others and more so in poorer economic quintiles.Conclusions: The vulnerability of India’s elderly increases across various equity dimensions which include the place of residence, gender, caste, marital status, economic quintile, living arrangements, surviving children, and economic dependence. The current COVID-19 pandemic poses a greater risk of social isolation among the elderly, which may lead to detrimental health impact.Trial Registration: No applicable since the study is based on secondary data.

scholarly journals COVID-19 Outbreak After 100 Days Without Community Transmission: Epidemiological Analysis of Factors Associated With Death

2021 ◽  
Author(s):  
Nguyen Tran Minh Duc ◽  
Ali Ahmed-Fouad Abozaid ◽  
Le Van Truong ◽  
Nguyen Bao Hung ◽  
Dao Khanh Linh ◽  
...  
Keyword(s):  
Descriptive Analysis ◽  
Significant Risk ◽  
The Elderly ◽  
Control Measures ◽  
P Value ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Risk Of Death ◽  
Adequate Care ◽  
Multiple Variable

Abstract Background: The SARS-CoV-2 pandemic has cost millions of deaths and lifelong consequences since December 2019. We attempted to evaluate the incidence, distribution, and risk factors associated with death after applying the social distance strategy to the second wave of SARS-CoV-2 in the Danang outbreak (July 2020), Vietnam. Methods: We retrospectively reviewed the online Danang Hospital reports, gathering the epidemiological history of confirmed SARS-CoV-2 patients. We then conducted a descriptive analysis of Fisher's Phi Coefficient and Cramer's, along with multiple logistic regression models to test the effects of symptomatology and control measures performed by the Vietnamese government on transmission dynamics. The last report we examined was on August 29, 2020.Results: 389 SARS-CoV-2 confirmed cases related to the Danang outbreak are included in our analysis with a mean age of 47.1 (SD = 18.4), involving 154 men and 235 women, 34 cases of death, and 355 were alive. The study showed significant results related to age, quarantine measures, previous negative SARS-CoV-2 test, and a range of symptoms, including shortness of breath and myalgia (p-value < 0.05). Our multiple-variable analysis suggested the significant risk of death was related to age, severe symptomology, undetected SARS-CoV-2 test results, and prior quarantined SARS-CoV-2 history.Conclusions: Vietnamese authorities had implemented successful quarantine practices to control the SARS-CoV-2 outbreaks. However, this virus has shown dynamic spread beyond the ability of the country to control its transmission. Adequate screening, social distancing, and adequate care of the elderly and healthcare workers can lower the risk of future outbreaks.

scholarly journals Place of death of children and young adults with a life-limiting condition in England: a retrospective cohort study

2020 ◽  
pp. archdischild-2020-319700
Author(s):  
Deborah Gibson-Smith ◽  
Stuart William Jarvis ◽  
Lorna K Fraser
Keyword(s):  
Cohort Study ◽  
Minority Groups ◽  
Multinomial Logistic Regression ◽  
Hospital Setting ◽  
Place Of Death ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Geographical Regions ◽  
Limiting Condition ◽  
At Home

ObjectiveTo assess trends in place of death for children with a life-limiting condition and the factors associated with death at home or hospice rather than hospital.DesignObservational cohort study using linked routinely collected data.SettingEngland.PatientsChildren aged 0–25 years who died between 2003 and 2017.Main outcome measuresPlace of death: hospital, hospice, home. Multivariable multinomial logistic regression models.Results39 349 children died: 73% occurred in hospital, 6% in hospice and 16% at home. In the multivariable models compared with dying in a hospital: neonates were less likely, and those aged 1–10 years more likely, than those aged 28 days to <1 year to die in hospice. Children from all ethnic minority groups were significantly less likely to die in hospice, as were those in the most deprived group (RR 0.8, 95% CI 0.7 to 0.9). Those who died from 2008 were more likely than those who died earlier to die in a hospice.Children with cancer (RR 4.4, 95% CI 3.8 to 5.1), neurological (RR 2.0, 95% CI 1.7 to 2.3) or metabolic (RR 3.7, 95% CI 3.0 to 4.6) diagnoses were more likely than those with a congenital diagnosis to die in a hospice.Similar patterns were seen for clinical/demographic factors associated with home versus hospital deaths.ConclusionsMost children with a life-limiting condition continue to die in the hospital setting. Further research on preferences for place of death is needed especially in children with conditions other than cancer. Paediatric palliative care services should be funded adequately to enable equal access across all settings, diagnostic groups and geographical regions.

Elders With Dementia Living in the Community With and Without Caregivers: An Epidemiological Study

1999 ◽  
Vol 11 (3) ◽  
pp. 235-250 ◽  
Author(s):  
Krista L. Prescop ◽  
Hiroko H. Dodge ◽  
Richard K. Morycz ◽  
Richard M. Schulz ◽  
Mary Ganguli
Keyword(s):  
Cognitive Impairment ◽  
Functional Impairment ◽  
Family Caregiving ◽  
Living Arrangements ◽  
The Elderly ◽  
Epidemiological Survey ◽  
Living Alone ◽  
Factors Associated ◽  
Dementia Severity ◽  
Large Living

Background: Previous studies of dementia and family caregiving have focused on individuals seeking diagnosis and treatment, and have rarely been conducted in representative community samples. Identifying demented individuals participating in a community survey, we determined (a) the factors associated with demented elderly living alone; (b) the factors associated with the demented elderly having caregivers; (c) the factors associated with increased levels of burden among caregivers of persons with dementia. Population and Methods: During an epidemiological survey of a mostly rural U.S. community, the authors identified 116 noninstitutionalized elderly individuals with dementia. These individuals were classified into those living alone and those living with others; both groups were further classified into those with an without identifiable family caregivers. Characteristics of both caregivers and care recipients were examined. Results: Approximately a third of the subjects with dementia lived alone, and only half of them had caregivers. The average age of the caregivers was 67.4 years, and 73% of them were women. Almost half of the caregivers were spouses, whereas almost a third were offspring, of the demented individuals. Over two thirds of caregivers lived with the subjects. Female caregivers were significantly younger than male caregivers. Multivariate analyses revealed that subjects with dementia who were living alone were independently and significantly more likely to be women and to have dementias of shorter duration, lesser severity, and lesser functional impairment than those living with others. Demented subjects with caregivers were more likely to have greater dementia severity, functional impairment, and cognitive impairment and more current cognitive and behavioral symptoms than those without caregivers. Demented subjects whose caregivers reported higher levels of burden were more likely to be women and to have greater dementia severity, functional impairment, and cognitive impairment and more current symptoms than those whose caregivers had no/minimal burden. Conclusions: These results draw attention to the problems of persons with dementia living alone, particularly those without caregivers. Our data also provide epidemiological confirmation of previous clinical/volunteer studies of dementia caregiving, as well as a preliminary assessment of need in the community at large. Living arrangements and caregiver issues should be taken into account when planning services for the elderly.

Perceptions by Adult Children of Elderly Parents' Needs

1996 ◽  
Vol 78 (2) ◽  
pp. 571-577 ◽  
Author(s):  
James Halpern ◽  
Mary Ann Shroder ◽  
Maryalice Citera
Keyword(s):  
Adult Children ◽  
Emotional Support ◽  
Living Arrangements ◽  
Adult Child ◽  
The Elderly ◽  
Retirement Communities ◽  
Elderly Parents ◽  
Factors Associated ◽  
Parents And Children ◽  
Opposite Sex

The purpose of this study was to examine the accuracy of adult children's perceptions of their elderly parents' concerns. Factors associated with moderate involvement between the elderly parent and adult child were predicted to lead to the greatest accuracy. 48 pairs of elderly parents and adult children filled out questionnaires regarding the parents' concerns about seven areas of functioning. Analysis showed that concerns about health and emotional support were rated as most important by elderly parents. Adult children accurately perceived these concerns to be most important to their parents. For health concerns, opposite-sex pairs of parents and children showed greatest agreement. For emotional support concerns, however, both sons and daughters were more accurate predicting their fathers' concerns than their mothers'. Middle-born children tended to be more accurate in their predictions of parents' concerns than oldest or youngest children. Living arrangements also influenced accuracy. In predicting the concerns of elderly parents, adult children were most accurate for parents living in retirement communities, moderately accurate for parents living independently, and least accurate for parents living in the adult child's home. Further, children sharing a household with an adult parent tended to overestimate their parents' concerns on some issues. The results were consistent with the moderate involvement hypothesis. The implications of these results and suggestions for research are discussed.

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