scholarly journals Understanding Patterns of Social Security Benefit Receipt, Pensions Incomes, Retirement and Saving by Race, Ethnicity, Gender and Marital Status: A Structural Approach

2004 ◽  
Author(s):  
Alan L. Gustman ◽  
Thomas L. Steinmeier
Keyword(s):  
Social Security ◽  
Marital Status ◽  
Structural Approach ◽  
Social Security Benefit ◽  
Race Ethnicity

Hospitalization burden and end-of-life (EOL) care in elderly patients with glioblastoma (GBM).

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 31-31
Author(s):  
Laura Donovan ◽  
Donna Buono ◽  
Melissa Kate Accordino ◽  
Jason Dennis Wright ◽  
Andrew B. Lassman ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Palliative Care ◽  
Elderly Patients ◽  
Marital Status ◽  
End Of Life ◽  
Remaining Life ◽  
Care Services ◽  
Palliative Care Services ◽  
Race Ethnicity ◽  
Eol Care

31 Background: GBM is associated with a poor prognosis and early death in elderly patients. Prior studies have demonstrated a high burden of hospitalization in this population. We sought to evaluate and examine trends in hospitalizations and EOL care in GBM survivors. Methods: Using SEER-Medicare linked data, we performed a retrospective observational cohort study of patients aged ≥ 65 years diagnosed with GBM from 2005-2017 who lived at least 6 months from the time of diagnosis. Aggressive EOL care was defined as: chemotherapy or radiotherapy within 14 days of death (DOD), surgery within 30 DOD, > 1 emergency department visit, ≥ 1 hospitalization or intensive care unit admission within 30 DOD; in-hospital death; or hospice enrollment ≤ 3 DOD. We evaluated age, race, ethnicity, marital status, gender, socioeconomic status, comorbidities, prior treatment and percentage of time hospitalized. Multivariable logistic regression was performed to determine factors associated with aggressive end of life care. Results: Of 5827 patients, 2269 (38.9%) survived at least 6 months. Among these, 1106 (48.7%) survived 6-12 months, 558 (24.6%) survived 12-18 months, and 605 (26.7%) survived > 18 months. Patients who survived 6-12 months had the highest burden of hospitalization and spent a median of 10.6% of their remaining life in the hospital compared to those surviving 12-18 months (5.4%) and > 18 months (3%) (P < 0.001). 10.1% of the cohort had claims for palliative care services; 49.8% of initial palliative care consults occurred in the last 30 days of life. Hospice claims existed in 83% with a median length of stay 33 days (IQR 12, 79 days). 30.1% of subjects received aggressive EOL care. Receiving chemo at any time (OR 1.510, 95% CI 1.221-1.867) and spending ≥ 20% of life in the hospital after diagnosis (OR 3.331, 95% CI 2.567-4.324) were associated with aggressive EOL care. Women (OR 0.759, 95% CI 0.624-0.922), patients with higher socioeconomic status (OR 0.533, 95% CI 0.342-0.829), and those diagnosed ≥ age 80 (OR 0.723, 95% CI 0.528-0.991) were less likely to receive aggressive EOL care. Race, ethnicity, marital status, and extent of initial resection were not associated with aggressive EOL care. Conclusions: A minority of elderly patients with GBM in the SEER-Medicare database survived ≥ 6 months; hospitalizations were common and patients spent a significant proportion of their remaining life hospitalized. Although hospice utilization was high in this cohort, 30% of patients received aggressive EOL care. Despite the aggressive nature of GBM, few patients had palliative care consults during their illness. Increased utilization of palliative care services may help reduce hospitalization burden and aggressive EOL care in this population.

scholarly journals An Alternative Premium Payment Method to Finance the Farmers’ Pension and Social Security Benefit Scheme

2010 ◽  
Vol 7 (0) ◽  
pp. 51 ◽  
Author(s):  
SP Withanage ◽  
LHP Gunaratne ◽  
AR Ariyaratne
Keyword(s):  
Social Security ◽  
Social Security Benefit ◽  
Payment Method ◽  
Premium Payment

scholarly journals How Effective is Redistribution Under the Social Security Benefit Formula?

10.3386/w7597 ◽  
2000 ◽  
Author(s):  
Alan Gustman ◽  
Thomas Steinmeier
Keyword(s):  
Social Security ◽  
Social Security Benefit ◽  
The Social

scholarly journals Flavonoid Intake Varies by Racial/Ethnic Groups Within Sociodemographic Categories

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1426-1426
Author(s):  
Kijoon Kim ◽  
Kyungho Ha ◽  
Junichi Sakaki ◽  
Hwayoung Noh ◽  
Ock Chun
Keyword(s):  
High School ◽  
Marital Status ◽  
College Education ◽  
School Education ◽  
High School Education ◽  
Total Flavonoid ◽  
Sociodemographic Characteristics ◽  
Increased Risk ◽  
Flavonoid Intake ◽  
Race Ethnicity

Abstract Objectives Diets rich in flavonoids can reduce the risk of developing chronic diseases through their antioxidant and anti-inflammatory properties. While differences in flavonoid intake by race/ethnicity have been previously described, differences between race/ethnicity within categories sociodemographic characteristics have not been fully assessed. Therefore, the objective of this study was to estimate flavonoid intake and evaluate the disparities by race/ethnicity within categories of sociodemographic characteristics in US adults. Methods A total of 15,775 US adults aged 20 years and older in NHANES 2007–2014 were included in this cross-sectional study. Flavonoid intake was calculated by linking food consumption data from a 24-hour diet recall to a flavonoid database which has been expanded on by our research group using the USDA Databases for the Flavonoid (Release 3.3), and Isoflavone (Release 2.1) in addition to the USDA's Expanded Flavonoid Database for the Assessment of Dietary Intakes (Release 1.1). Mean (SE) flavonoid intakes by sociodemographic categories were compared with one-way ANOVA. Results Among US adults, mean (SE) total flavonoid intake was 227.6 (8.0) mg/day, and total flavonoid intake was highest in 40–59 year olds, non-Hispanic whites, those with a poverty-income ratio (PIR) ≥1.85, those with a college education or above, and those married or living with a partner. In most sociodemographic categories, Hispanics consistently had the lowest total flavonoid intakes compared to other races/ethnicities. Among Hispanic subgroups, total flavonoid intake was lowest in men, 20–39 years olds, PIR &lt; 1.3, less than high school education, and single marital status (men only). Ethnic disparities in flavonoid intake were more pronounced between certain sociodemographic subcategories including men, 40–59 year olds, PIR &lt; 1.3, less than high school education, and married marital status (men only). Conclusions These findings indicate that there are significant racial differences in flavonoid intake. Notably, Hispanics tended to have the lowest intake. Certain sociodemographic populations such as males, low income or low educated may be at an increased risk of flavonoid under-consumption. Funding Sources This research received no external funding.

scholarly journals ADMINISTRATIVE INDICATORS OF FAMILY SUPPORT AMONG COMPLEX PATIENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S218-S219
Author(s):  
Elvira E Jimenez ◽  
Ranak Trivedi ◽  
Alexis Huynh ◽  
Taona Haderlein ◽  
Marian Katz ◽  
...  
Keyword(s):  
Marital Status ◽  
Family Support ◽  
Medical Records ◽  
Multiple Chronic Conditions ◽  
Psychosocial Needs ◽  
Next Of Kin ◽  
Complex Patients ◽  
Race Ethnicity ◽  
And Gender ◽  
Ethnicity And Gender

Abstract Greater access to family support has been shown to positively affect the management of complex patients (i.e., multiple chronic conditions and psychosocial needs). However, patients’ availability of family support is not easily obtainable from medical records. We aim to identify administrative variables that can be used as indicators of family support. We investigated secondary next-of-kin (i.e., patient identified two next-of-kin) and marital status as administratively defined family support availability in a Veteran sample (n=2210). A subsample (n=329) was further evaluated with documented responses to questions “Are there any friends/family members you would like to involve in any aspect of your health care?” (i.e., “actual availability”) and “Does anyone help you with your daily activities?” (i.e., “obtained” availability). We performed a logistic regression analysis to evaluate the association between administratively defined and “actual” or “obtained” availability of support controlling for age, race/ethnicity, and gender. The sample was 90% male, mean age 63 years, 50%White and 44% African American. We found that 32.9% had administratively defined availability by being married, and 32.5% by listing secondary next-of kin. Married Veterans were significantly more likely to report greater actual availability (p=0.01) and obtained (p=0.04) support. Veterans listing a secondary next-of-kin were significantly more likely to report “actual” availability (p= 0.04) but not on “obtained” (p=0.08) support. Marital status may be a useful proxy of actual family support and listing a secondary next-of kin may be an alternate indicator for complex patients. Our study provides guidance on the use of administrative data in understanding caregivers.

scholarly journals The influence of marital status and race/ethnicity on risk of mortality for triple negative breast cancer

PLoS ONE ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. e0196134 ◽  
Author(s):  
Carol Parise ◽  
Vincent Caggiano
Keyword(s):  
Breast Cancer ◽  
Marital Status ◽  
Triple Negative Breast Cancer ◽  
Triple Negative ◽  
Risk Of Mortality ◽  
Race Ethnicity

Divorcing Marital Status from Social Security Payments

2005 ◽  
Vol 30 (4) ◽  
pp. 189-194 ◽  
Author(s):  
Tamar Hopkins
Keyword(s):  
Social Security ◽  
Marital Status

Determinants of Engagement in Paid Work Following Social Security Benefit Receipt Among Older Women

2000 ◽  
Vol 12 (3-4) ◽  
pp. 133-154 ◽  
Author(s):  
Namkee G. Choi
Keyword(s):  
Social Security ◽  
Older Women ◽  
Social Security Benefit ◽  
Paid Work
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