scholarly journals Self-rated health and interviewer-rated health: differentials in predictive power for mortality among subgroups of Chinese elders

2017 ◽  
Vol 2 (2) ◽  
Author(s):  
Haiyan Zhu ◽  
Qiushi Feng ◽  
Danan Gu
Keyword(s):  
Older Adults ◽  
Predictive Power ◽  
Added Value ◽  
Older Population ◽  
Self Rated Health ◽  
Healthy Longevity ◽  
Wide Range ◽  
Valid Predictor ◽  
Using Data ◽  
Chinese Elders

Interviewer-rated health (IRH) and self-rated health (SRH) have strong and independent predictive power for mortality, but their relative predictive power has not been examined among subpopulations. Because individuals from different subpopulations have distinct views, understandings, and judgments about health that influence their criteria and referents for SRH, we examine whether IRH is a valid predictor of mortality within subpopulations, which may provide added value for understanding its association with mortality. Using data from the 2005 and 2008 waves of the Chinese Longitudinal Healthy Longevity Survey, this study modeled associations of SRH and IRH with mortality in various subgroups among 12,583 older adults in China. We found that IRH is a robust predictor of mortality, independent of SRH, across major demographic and socioeconomic subpopulations after adjusting for a wide range of covariates. The predictive power of IRH for mortality was generally more robust than that of SRH in most subpopulations. Our findings suggest that IRH could be a good complement to SRH among subgroups of the Chinese older population.

scholarly journals HOUSING COSTS BURDEN AND SELF-RATED HEALTH: PRELIMINARY FINDINGS FROM A U.S. SAMPLE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S938-S938
Author(s):  
Ji Hyang Cheon ◽  
John Cagle ◽  
Amanda Lehning
Keyword(s):  
Older Adults ◽  
Well Being ◽  
Policy Implications ◽  
Housing Cost ◽  
Cost Burden ◽  
Linear Regression Models ◽  
Assistance Programs ◽  
Self Rated Health ◽  
Housing Cost Burden ◽  
Using Data

Abstract Self-rated health is a multidimensional construct that includes not only physical health but also emotional and social well-being. Previous research has demonstrated that multiple factors contribute to individual self-rated health, including income. Because income is a somewhat limited indicator of older adults' financial circumstances, alternative measures such as housing cost burden may enhance our understanding of contributors to self-rated health. Further, because homeowners and renters may have a different attachment to their home and neighborhood, homeownership may moderate the association between housing cost burden and self-rated health. This study examined these relationships using data from 3,212 older adults in round 7 (2017) of the National Health & Aging Trends Study. Findings from multiple linear regression models indicate that the housing cost burden is associated with lower self-rated health, and this association is stronger for renters compared to homeowners. The findings indicate the potential for reduced housing cost burden to have a positive effect on health. The poster will conclude with practice and policy implications, including the potential benefits of expanding rental assistance programs to older adults who may not meet current income requirements but are experiencing high housing cost burden, as well as research implications, including the need for longitudinal approaches.

scholarly journals NEIGHBORHOOD AGE COMPOSITION AND SELF-RATED HEALTH: FINDINGS FROM A NATIONALLY REPRESENTATIVE STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S64-S64
Author(s):  
Amanda Lehning ◽  
Amanda J Lehning ◽  
Nicole Mattocks ◽  
Kyeongmo Kim ◽  
Richard J Smith
Keyword(s):  
Older Adults ◽  
Regression Models ◽  
Neighborhood Change ◽  
Age Composition ◽  
Logistic Regression Models ◽  
Self Rated Health ◽  
Representative Study ◽  
Nationally Representative ◽  
Using Data ◽  
Conceptual Work

Abstract Neighborhood age composition is an understudied area. Furthermore, existing empirical and conceptual work is conflicting, with some indicating neighborhoods with more older adults are beneficial and other scholarship suggesting it can be detrimental. Using data from 7,197 older adults from the first wave (2011) of the National Health & Aging Trends Study combined with census tract data from the National Neighborhood Change Database, we examined the association between neighborhood age composition and self-rated health. Findings from logistic regression models indicate those living in neighborhoods with a growing concentration of older residents are significantly more likely to report lower self-rated health compared to those living in a neighborhood in which older adults overall are declining (β=1.51, p < .05) or are becoming diluted by younger residents (β=.66, p < .05). Results have implications for interventions promoting aging in place, particularly for those who may be stuck in place in age-concentrated neighborhoods.

The moderating effect of sociodemographic factors on the predictive power of self-rated health for mortality in Canada

2017 ◽  
Vol 44 (1-2) ◽  
pp. 77
Author(s):  
James Falconer ◽  
Amélie Quesnel-Vallée
Keyword(s):  
Sex Education ◽  
Predictive Power ◽  
Estimating Equation ◽  
Sociodemographic Factors ◽  
Moderating Effect ◽  
Social Characteristics ◽  
Generalized Estimating Equation ◽  
Self Rated Health ◽  
Using Data ◽  
Effect Of Age

Self-rated health is a reliable predictor for mortality, but its predictive power varies depending on social characteristics. This study tests the moderating effect of age, sex, education, and income on the power of self-rated health to predict mortality in Canada using data from the National Population Health Survey. Predictive power trajectories are modelled using time-series generalized estimating equation logistic regression. Findings show that self-rated health is a predictor for mortality up to 14 years prior to death in Canada, and is weakly moderated by income and education, and age/sex interactions. Self-rated health remains reliable across population sub-groups in Canada.La santé auto-évaluée est un prédicteur fiable de la mortalité, mais son pouvoir prédictif varie en fonction des caractéristiques sociales. Cette étude examine l'effet modérateur de l'âge, du sexe, de l'éducation, et du revenu sur le pouvoir de la santé auto-évaluée pour prédire la mortalité au Canada utilisant des données de l'Enquête nationale sur la santé de la population. Les trajectoires de puissance prédictive sont modélisées avec une régression logistique de l'équation d'estimation généralisée. Les résultats montrent que la santé auto-évaluée est un prédicteur de la mortalité jusqu'à 14 ans avant le décès au Canada, et est faiblement modérée par le revenu, l'éducation, et les interactions entre l'âge et le sexe. La santé auto-évaluée demeure valide parmi les sous-groupes de la population du Canada.

scholarly journals Association of Oral Health with Multimorbidity among Older Adults: Findings from the Longitudinal Ageing Study in India, Wave-1, 2017–2019

2021 ◽  
Vol 18 (23) ◽  
pp. 12853
Author(s):  
Srikanta Kanungo ◽  
Shishirendu Ghosal ◽  
Sushmita Kerketta ◽  
Abhinav Sinha ◽  
Stewart W Mercer ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Logistic Regression ◽  
Oral Health ◽  
Descriptive Analysis ◽  
Nationwide Survey ◽  
Self Rated Health ◽  
Multivariable Logistic Regression ◽  
Ageing Study ◽  
Using Data

India is witnessing an increase in the prevalence of multimorbidity. Oral health is related to overall health but is seldom included in the assessment of multimorbidity. Hence, this study aimed to estimate the prevalence of oral morbidity and explore its association with physical multimorbidity using data from Longitudinal Ageing Study in India (LASI). LASI is a nationwide survey amongst adults aged ≥ 45 years conducted in 2018. Descriptive analysis was performed on included participants (n = 59,764) to determine the prevalence of oral morbidity. Multivariable logistic regression assessed the association between oral morbidity and physical multimorbidity. Self-rated health was compared between multimorbid participants with and without oral morbidity. Oral morbidity was prevalent in 48.56% of participants and physical multimorbidity in 50.36%. Those with multimorbidity were at a higher risk of having any oral morbidity (AOR: 1.60 (1.48–1.73)) than those without multimorbidity. Participants who had only oral morbidity rated their health to be good more often than those who had physical multimorbidity and oral morbidity (40.84% vs. 32.98%). Oral morbidity is significantly associated with physical multimorbidity. Multimorbid participants perceived their health to be inferior to those with only oral morbidity. The findings suggest multidisciplinary health teams in primary care should include the management of oral morbidity and physical multimorbidity.

The influence of socioeconomic status on the predictive power of self-rated health for 6-year mortality in English and Brazilian older adults: the ELSA and Bambui cohort studies

2012 ◽  
Vol 22 (9) ◽  
pp. 644-648 ◽  
Author(s):  
M. Fernanda Lima-Costa ◽  
Andrew Steptoe ◽  
Cibele C. Cesar ◽  
Cesar De Oliveira ◽  
Fernando A. Proietti ◽  
...  
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Cohort Studies ◽  
Predictive Power ◽  
Self Rated Health

scholarly journals INTERGENERATIONAL TRANSFERS, RESILIENCE, AND SELF-RATED HEALTH: FINDINGS FROM HONOLULU AND WUHAN

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S590-S590
Author(s):  
Sizhe Liu ◽  
Wei Zhang ◽  
Keqing Zhang ◽  
Bei Wu
Keyword(s):  
Older Adults ◽  
Intergenerational Transfers ◽  
Chinese Older Adults ◽  
Negatively Associated ◽  
Self Rated Health ◽  
Economic Support ◽  
Country Differences ◽  
Using Data ◽  
The Impact

Abstract This study investigated the association between intergenerational transfer and self-rated health (SRH) using data collected from 323 older Chinese immigrants in Honolulu and 752 Chinese older adults in Wuhan. We also explored the mediating role of resilience and the moderating role of gender in linking the associations. Findings show, for both study sites, receiving greater emotional support was associated with increased levels of SRH and this association was partially explained by resilience for females but not for males. For country differences, receiving economic support was negatively associated with SRH whereas providing economic support was positively associated with SRH for males but not for females in Honolulu. In Wuhan, receiving housework support was negatively associated with SRH for females but not for males. These findings indicate that future studies need to consider country differences as well as the impact of acculturation when examining intergenerational transfers and health among Chinese older adults.

Volunteering Served as a Transitional Role That Enhances the Well-Being and Cognitive Health Among Older Adults With Cognitive Impairments

2020 ◽  
pp. 073346482098273
Author(s):  
Kathy Lee ◽  
Holly Dabelko-Schoeny ◽  
Virginia E. Richardson
Keyword(s):  
Older Adults ◽  
Mixed Models ◽  
Older Persons ◽  
Cognitive Impairments ◽  
Well Being ◽  
Volunteer Work ◽  
Cognitive Health ◽  
Self Rated Health ◽  
Using Data ◽  
Retirement Study

Objectives: We examined whether volunteering among older adults with cognitive impairments serves as a transitional role that can enhance these older persons’ well-being and cognitive health. Methods: Using data from the Health and Retirement Study, we selected older adults with cognitive impairments ( N = 472) and developed linear mixed models to assess associations between volunteering and health outcomes. Results: Volunteers in our sample were mostly females, non-Hispanic whites, those with higher income, and those with a high-school diploma. Volunteering was associated with higher levels of self-rated health, and consistent participation in volunteer work was related to stronger feelings of purpose in life. Cognitive health slightly improved over time only among those who volunteered. Discussion: We demonstrate that cognitive impaired older adults’ participation in the volunteer role can benefit cognitive health while strengthening their late life resilience.

scholarly journals Mortality and Health Outcomes for Older Adults Screened by an Area Agency on Aging Over a 4.5-Year Period

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 710-711
Author(s):  
Amber Gum ◽  
Lawrence Schonfeld ◽  
Kevin Kip ◽  
Mary Goldsworthy ◽  
Jesse Bell ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Functional Decline ◽  
Assessment Process ◽  
Term Care ◽  
Central Florida ◽  
Wide Range ◽  
Using Data

Abstract Area Agencies on Aging (AAA) screen older adults and oversee delivery of a wide range of home- and community-based services (HCBS). We examined the assessment process, services, and mortality and health outcomes for older adults screened by an Area Agency on Aging in west-central Florida. Most were self/family referred (78.9%). Using data from July 2013-December 2018, 23,225 older adults were screened. Individuals had an average of 2.6 years follow-up in the dataset, during which time 63.6% received additional assessments: follow-up screening (50.6%), comprehensive assessment for enrollment in HCBS (35.7%), or assessments for congregate meals or other services (13.7%). Results revealed differences in mortality: 22.5% of clients receiving services died compared to 32.1% of clients prioritized as lower risk and on waiting lists for services. Long-term care placement and functional decline outcomes also will be reviewed, along with implications for service delivery and managing waitlists.

scholarly journals A Community-Based, Technology-Supported Health Service for Detecting and Preventing Frailty among Older Adults: A Participatory Design Development Process

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Lex van Velsen ◽  
Maddalena Illario ◽  
Stephanie Jansen-Kosterink ◽  
Catherine Crola ◽  
Carolina Di Somma ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Service ◽  
Health Services ◽  
Participatory Design ◽  
Functional Decline ◽  
Added Value ◽  
Service Model ◽  
Community Based ◽  
Increased Risk ◽  
Wide Range

Frailty is a multifaceted condition that affects many older adults and marks decline on areas such as cognition, physical condition, and nutritional status. Frail individuals are at increased risk for the development of disability, dementia, and falls. There are hardly any health services that enable the identification of prefrail individuals and that focus on prevention of further functional decline. In this paper, we discuss the development of a community-based, technology-supported health service for detecting prefrailty and preventing frailty and further functional decline via participatory design with a wide range of stakeholders. The result is an innovative service model in which an online platform supports the integration of traditional services with novel, Information Communication Technology supported tools. This service is capable of supporting the different phases of screening and offers training services, by also integrating them with community-based services. The service model can be used as a basis for developing similar services within a wide range of healthcare systems. We present the service model, the general functioning of the technology platform, and the different ways in which screening for and prevention of frailty has been localized. Finally, we reflect on the added value of participatory design for creating such health services.

scholarly journals Fifteen Dimensions of Health among Community-Dwelling Older Singaporeans

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
Chetna Malhotra ◽  
Angelique Chan ◽  
Rahul Malhotra ◽  
Truls Østbye
Keyword(s):  
Depressive Symptoms ◽  
Logit Model ◽  
Age Groups ◽  
Physical Illness ◽  
Community Dwelling ◽  
Broad Perspective ◽  
Personal Mastery ◽  
Self Rated Health ◽  
Wide Range ◽  
Using Data

This paper aims to present a broad perspective of health of older Singaporeans spanning 15 health dimensions and study the association between self-rated health (SRH) and other health dimensions. Using data from a survey of 5000 Singaporeans (≥60 years), SRH and health in 14 other dimensions were assessed. Generalized logit model was used to assess contribution of these 14 dimensions to positive and negative SRH, compared to average SRH. About 86% reported their health to be average or higher. Prevalence of positive SRH and “health” in most other dimensions was lower in older age groups. Positive and negative SRH were associated with mobility, hearing, vision, major physical illness, pain, personal mastery, depressive symptoms, and perceived financial adequacy. The findings show that a majority of older Singaporeans report themselves as healthy overall and in a wide range of health dimensions.

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