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Journal articles on the topic 'Older slaves – United States – Social conditions'

Author: Grafiati

Published: 27 July 2024

Last updated: 31 July 2025

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1

LEVANDE, DIANE I., JOHN M. HERRICK, and KYU-TAIK SUNG. "Eldercare in the United States and South Korea." Journal of Family Issues 21, no. 5 (2000): 632–51. http://dx.doi.org/10.1177/019251300021005006.

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Despite a variety of differences in size, location, population characteristics, social organization, and cultural values and traditions, South Korea and the United States face dramatic increases in the numbers and proportions of older adults. Population aging raises profound questions about current and future eldercare arrangements in both countries. This article compares eldercare in the informal system of family caregiving and the formal system of government policies and public and private services in the United States and South Korea. Critical issues about changing conditions in each countr

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Baibakova, Larisa Vilorovna. "Peculiarities of perception by former slaves of their social status in the era of slavery (based on the collection of their memoirs in the Library of US Congress)." Исторический журнал: научные исследования, no. 4 (April 2020): 131–45. http://dx.doi.org/10.7256/2454-0609.2020.4.33626.

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Slavery has always been condemned across the world; however in the end of the XX century, such canonical concept was rectified based on the extensive examination by American scholars of compilation of narratives of the former slaves collected in 1930s in the United States. At that time, 2,300 former slaves from 17 states were interviewed about their life in the era of slavery. Later, these interviews were placed in open access on the website of the Library of US Congress, reconstructing a contradictory picture of everyday life of African-Americans in the conditions of plantation economy: some

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Assari, Shervin, Mohammed Saqib, Cheryl Wisseh, and Mohsen Bazargan. "Social Determinants of Polypharmacy in First Generation Mexican Immigrants in the United States." International Journal of Travel Medicine and Global Health 7, no. 3 (2019): 86–90. http://dx.doi.org/10.15171/ijtmgh.2019.19.

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Introduction: Socioeconomic status (SES) indicators are among the main social determinants of health and illness. Less, however, is known about the role of SES in the epidemiology of polypharmacy in immigrant Latino Americans living in the United States. This research studied the association between three SES indicators, education, income, and employment, and polypharmacy in older first generation Latino American immigrant adults. Methods: Data was obtained from the Sacramento Area Latino Study on Aging (SALSA, 1996-2008). A total of 632 older first generation Mexican-American immigrants to th

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Boateng, Augustine, and Ari Friedman. "INFLUENCE OF COGNITION AND FUNCTIONAL LIMITATIONS ON HOSPITALIZATIONS AMONG OLDER ADULTS IN THE UNITED STATES." Innovation in Aging 7, Supplement_1 (2023): 973–74. http://dx.doi.org/10.1093/geroni/igad104.3128.

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Abstract Background Older adults frequently seek emergency department care, with 45 visits for every 100 older adults. Many health events in later stages of life can be attributed to health conditions and behaviors during middle-age. Yet, while qualitative and quantitative analyses exist, documenting the reasons for emergency department visits among all comers, no study focuses specifically on the determinants of hospitalization among middle-aged and older adults using the emergency department. Additionally, the impact on longer-term outcomes starting in mid-life remains unknown. Objectives To

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Kum, Cleopatra, Casey Phillips, Lynn Warner, Islam Banisalman, and Maria Roche-Dean. "THE CULTURE OF FAMILY CAREGIVING OF OLDER ADULTS AMONG AFRICAN AND AFRO-CARIBBEAN IMMIGRANTS TO THE US AND CANADA." Innovation in Aging 8, Supplement_1 (2024): 141–42. https://doi.org/10.1093/geroni/igae098.0456.

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Abstract An increasing number of African and Afro-Caribbean immigrants to the United States and Canada are aging. Older adults are dealing with various health conditions, which makes them increasingly dependent on family members and friends for their health and social needs. The assistance they receive includes help with physical care, transportation, medication assistance, and emotional and social support, amongst others. Caregivers play a pivotal role in maintaining the health of older adults of African and Afro-Caribbean immigrants in the United States and Canada. However, very little is un

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Kravchenko, Julia, Masudul Hoque, and Igor Akushevich. "CHRONIC CONDITIONS DURING THE COVID PANDEMIC: MORTALITY PATTERNS IN THE UNITED STATES." Innovation in Aging 6, Supplement_1 (2022): 257. http://dx.doi.org/10.1093/geroni/igac059.1021.

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Abstract Patients with chronic diseases, especially the older adults, are at increased risk of death during the COVID pandemic. We analyzed monthly patterns of mortality rates for patients with diabetes, arterial hypertension, cerebrovascular disease, heart failure, and kidney disease using the provisional Multiple Cause of Death data (2018-2022), for age-, gender, and race/ethnicity-specific population groups. Since population is available at annual basis, we used interpolation of population at risk to have the estimates of population at monthly basis. For all studied diseases, there were sub

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Lee, Chulhee. "Labor Market Status of Older Males in the United States, 1880-1940." Social Science History 29, no. 1 (2005): 77–105. http://dx.doi.org/10.1017/s0145553200013250.

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This article explores the labor market status of older males in the early twentieth century, focusing on how the extent of pressure toward retirement differed across occupations and how it changed over time. A comparison of the probability of retirement across occupations shows that men who had better occupations in terms of economic status and work conditions were less likely to retire than were those with poorer jobs. The difficulty faced by older workers in the labor market, as measured by the relative incidence of long-term unemployment, was relatively severe among craftsmen, operatives, a

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Lachance, Sonya L., Donna M. Zucker, and Jeffrey M. Hutchins. "Adult Cannabis Use: An Exploratory Case Study." Journal of Gerontological Nursing 49, no. 8 (2023): 19–26. http://dx.doi.org/10.3928/00989134-20230707-01.

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Cannabis use is on the rise among adults and older adults managing chronic health conditions in the United States. There is limited understanding of this trend and the factors influencing cannabis use in the health care community. The current study explores the perceptions and experiences of adults and older adults with chronic health conditions who use cannabis regularly. Case study data were gathered through interviews guided by the Biopsychosocial Model. Biological, psychological, and social reasons for cannabis use emerged in the interviews. Despite reporting adverse events, cannabis was r

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Miyawaki, Christina, Joshua Garcia, Kim Nguyen, Van Park, and Kyriakos Markides. "MULTIPLE CHRONIC CONDITIONS AND DISABILITY IN VIETNAMESE OLDER ADULTS IN THE UNITED STATES." Innovation in Aging 7, Supplement_1 (2023): 53. http://dx.doi.org/10.1093/geroni/igad104.0169.

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Abstract Asian Americans recorded the highest life expectancy in the U.S. possibly due to selective migration as 86% of them are immigrants. However, the health of refugees such as older Vietnamese has been understudied. Using data from the Vietnamese Aging and Care Survey (VACS) collected in Houston, Texas, the 2nd-largest Vietnamese-populated metropolitan area in the nation, we assessed their chronic conditions, disability, depressive symptoms, and cognitive impairment, and examined the associations between their chronic conditions and disability by comorbidity clusters. Multivariable logist

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Pomeroy, J. Mary Louise, and Gilbert Gimm. "Social Isolation and Hospitalization Risk Factors Among Community-Dwelling Older Adults." Innovation in Aging 4, Supplement_1 (2020): 95. http://dx.doi.org/10.1093/geroni/igaa057.314.

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Abstract PURPOSE: This study examines psychosocial risk factors associated with hospitalization among community-dwelling older adults in the United States. METHODS: Using two waves of the National Health and Aging Trends Study from 2011 and 2015, we conducted descriptive and multivariate analyses of individual-level data from a nationally representative sample of 8,003 Medicare beneficiaries ages 65 and older. Associations between hospitalization and risk factors including social isolation, depression, and anxiety were assessed. Covariates included gender, race/ethnicity, age, region, insuranc

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Sheehan, Orla, Karen Bandeen-Roche, Christine Ritchie, et al. "Are all homebound older adults frail?" Innovation in Aging 4, Supplement_1 (2020): 777–78. http://dx.doi.org/10.1093/geroni/igaa057.2812.

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Abstract Seven million adults in the United States are homebound and suffer the negative, powerful synergies of multiple chronic conditions, functional impairment, social stressors, and limited social capital. The prevalence of frailty in this vulnerable homebound population is unknown. Using representative data from the National Health and Aging Trends study (NHATS) study linked to Medicare claims (n=4756) we sought to assess the prevalence of frailty in the homebound population (n=361). Among the homebound, 68.5% met the frailty criteria compared to 12.3% of the non-homebound population. The

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Lee, Jung Eun, Emily Haynes, Susan DeSanto-Madeya, and Young Man Kim. "Social Determinants of Health and Multimorbidity Among Adults 50 Years and Older in the United States." Nursing Research 73, no. 2 (2024): 126–37. http://dx.doi.org/10.1097/nnr.0000000000000708.

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Background Living with two or more chronic conditions simultaneously—known as multimorbidity—has become increasingly prevalent as the aging population continues to grow. However, the factors that influence the development of multimorbidity are still not fully understood. Objectives The purpose of this study was to investigate the prevalence of multimorbidity among U.S. adults 50 years and older and identify associated factors with multimorbidity. Methods We used data from four cycles from the National Health and Nutrition Examination Survey (2011–2018) to examine the associations between socia

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De Main, Atami, Daniel Powers, and Bo Xie. "LONGITUDINAL ASSOCIATIONS OF SOCIAL CONNECTEDNESS, SOCIAL CONTRIBUTION, SOCIAL ENGAGEMENT, AND LATE-LIFE DRUG USE." Innovation in Aging 6, Supplement_1 (2022): 529–30. http://dx.doi.org/10.1093/geroni/igac059.2018.

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Abstract Substance misuse among older adults is a growing and complex problem with implications for society, aging adults, and their families. It is understudied in research and clinical practice. Limited and mixed evidence exists that suggests relationships between changes in older adults’ social environment and their drug use over time. This study addressed this gap by examining potential associations between social environment and drug use among community-dwelling older adults. Data were drawn from 3-waves of the national longitudinal survey of Midlife Development in the United States (MIDU

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Pudur, Rekha, Elias Mpofu, and Gayle Prybutok. "SOCIAL CONNECTEDNESS RESOURCING OF OLDER PEOPLE IN ASSISTED LIVING IN THE UNITED STATES OF AMERICA: A SCOPING REVIEW." Innovation in Aging 7, Supplement_1 (2023): 735–36. http://dx.doi.org/10.1093/geroni/igad104.2381.

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Abstract Abstract This PRISMA scoping review identifies the emerging evidence on social connectedness resources preferences and priorities of older adults in assisted living facilities. The searches in this scoping review were conducted in EBSCOhost. Eight studies were included from 134 articles published in English from January 2000 – September 2022. There are 2482 older adults from 233 assisted living facilities in the USA. Results organized by themes framed in the World Health Organization’s International Classification of Functioning, Disability, and Health (WHO-ICF) 1 provided evidence th

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Elliot, Ari J., Kathi L. Heffner, Christopher J. Mooney, Jan A. Moynihan, and Benjamin P. Chapman. "Social Relationships and Inflammatory Markers in the MIDUS Cohort: The Role of Age and Gender Differences." Journal of Aging and Health 30, no. 6 (2017): 904–23. http://dx.doi.org/10.1177/0898264317698551.

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Objective: To better understand age and gender differences in associations of social relationships with chronic inflammation. Method: Using a sample of middle-aged and older adults ( N = 963) from the Midlife Development in the United States (MIDUS) biomarker project, we examined interactions of age and gender with structural and functional social network measures in predicting interleukin-6 (IL-6) and C-reactive protein (CRP). Results: Significant interactions involving age and gender showed that social support was associated with lower IL-6 in older women, whereas perceived positive relation

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Garcia, Marc A., and Adriana M. Reyes. "Prevalence and Trends in Morbidity and Disability Among Older Mexican Americans in the Southwestern United States, 1993–2013." Research on Aging 40, no. 4 (2017): 311–39. http://dx.doi.org/10.1177/0164027517697800.

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This study examines the prevalence of morbidity and disability among older Mexican Americans using 5-year age groups. Twenty-year panel data from the Hispanic Established Populations for the Epidemiological Study of the Elderly are used to make detailed comparisons by nativity and gender. Results show that prevalence rates for most chronic conditions for both males and females do not vary by nativity. For disabilities, nativity is a significant predictor of increased instrumental activity of daily living disability for foreign-born females and reduced activity of daily living disability for U.

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Chu, Jun, Christine Mair, and Michel Boudreaux. "LONGITUDINAL ASSOCIATIONS OF HEARING PROBLEM AND DEMENTIA IN COMMUNITY-DWELLING OLDER ADULTS IN THE UNITED STATES." Innovation in Aging 8, Supplement_1 (2024): 1207–8. https://doi.org/10.1093/geroni/igae098.3865.

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Abstract There is evidence linking hearing problem to greater risk of dementia among older adults. However, no study has assessed such association longitudinally using nationally representative survey data. In addition, studies examining racial/ethnic differences in the association are limited. Using data from 2011-2022 National Health and Aging Trends Study and cox proportional hazards model, we examined the longitudinal association between having hearing trouble and dementia among older adults, and whether this association varied by race the ethnicity. Adjusting for demographics characterist

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Adam, Barry D., and J. Cristian Rangel. "Migration and Sexual Health Among Gay Latino Migrants to Canada." Canadian Journal of Sociology 42, no. 4 (2017): 403–24. http://dx.doi.org/10.29173/cjs28365.

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This paper enquires into the nexus of migration with sexual health among gay Latino migrants in Canada. Interviews with 25 Spanish-speaking interviewees are examined in light of models developed from studies of Latinos in the United States. Canadian immigration policy appears to result in a somewhat different selection of immigrants compared to the United States. Migrants come from a wide range of national and regional backgrounds intersected by race, generation, and social class that influence their perceptions of and adjustment to Canadian society. Pre-migration HIV knowledge varied strongly

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Min, Jungkyung, Idethia Harvey, and Yuchen Yeh. "Social Well-Being and Chronic Disease Condition among Older Adults." Innovation in Aging 4, Supplement_1 (2020): 891. http://dx.doi.org/10.1093/geroni/igaa057.3287.

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Abstract Aging is characterized by the decline in physical health, functional status, and loss of social roles and relationships that can challenge the quality of life. A protective factor that moderates the impact of these phenomena is psychological (e.g., social) well-being. Despite the high prevalence of chronic conditions among older adults, research exploring the relationship between social well-being and chronic disease is sparse. The study aims were to investigate the relationship between social well-being among older adults (N = 1,251, R = 65 – 92 years) who participated in the Nationa

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Forrester, Sarah N., Joseph J. Gallo, Keith E. Whitfield, and Roland J. Thorpe. "A Framework of Minority Stress: From Physiological Manifestations to Cognitive Outcomes." Gerontologist 59, no. 6 (2018): 1017–23. http://dx.doi.org/10.1093/geront/gny104.

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Abstract Cognitive impairment and dementia continue to threaten the aging population. Although no one is immune, certain groups, namely black older persons, are more likely to have a diagnosis of certain dementias. Because researchers have not found a purely biological reason for this disparity, they have turned to a biopsychosocial model. Specifically, black persons in the United States are more likely to live with social conditions that affect their stress levels which in turn affect physiological regulation leading to conditions that result in higher levels of cognitive impairment or dement

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De Main, Atami Sagna, and Bo Xie. "Social Environment and Mental and Behavioral Health Outcomes in Older Adults: A Critical Review." Innovation in Aging 4, Supplement_1 (2020): 467. http://dx.doi.org/10.1093/geroni/igaa057.1512.

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Abstract Social environments are complex and critical to older adults’ health. Older adults are vulnerable to lack of social connectedness, social engagement and social contribution. 10-43% of community-dwelling older adults suffer from social isolation and loneliness in the United States. Despite the growing evidence on the impact of social environment on older adults’ health, it remains that the information about older adults’ social environment and its relationships to mental/behavioral health is fragmented. The purpose of this study is to determine the state of the science on social enviro

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Michael, Robert T. "Children’s cognitive skill development in Britain and the United States." International Journal of Behavioral Development 27, no. 5 (2003): 396–408. http://dx.doi.org/10.1080/01650250344000000.

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This paper compares the cognitive test scores of children in Great Britain and the United States in vocabulary, reading, mathematics, and memory of words and numbers. Children aged 5–9 years in Britain systematically outperform their US counterparts on reading and mathematics tests, while children aged 10–14 years show far fewer differences. In most comparisons for white children aged 10–14 years, there are no statistical differences in the distributions of test scores between the British and United States children. The explanation for the observed differences between the younger children in t

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Dark, Tyra, and George Rust. "Occurrence of Comorbid Metabolic and Depressive Symptoms across Sociodemographic Categories in the United States." Ethnicity & Disease 35, no. 2 (2025): 83–86. https://doi.org/10.18865/ethndis-2024-29.

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Objective This study was conducted to quantify the prevalence of metabolic syndrome and depressive symptoms across racial/ethnic and socioeconomic strata in a nationally representative U.S. sample. Methods We used National Health and Nutrition Examination Survey 2017–March 2020 data for participants aged 18 years and older. Prevalence of depressive symptoms and metabolic syndrome alone and in combination was measured across racial/ethnic, sex, age, and income strata. Chi-square tests were used for between-group comparisons. Results Over 7% of sampled adults had comorbid depressive symptoms and

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Martinos, Fadi. "STATE VARIATION IN CANNABIS REGULATIONS CONCERNING OLDER AMERICANS." Innovation in Aging 7, Supplement_1 (2023): 12. http://dx.doi.org/10.1093/geroni/igad104.0038.

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Abstract As of 2022, 21 states have fully legalized cannabis, 23 legalize for medical use only, and 6 states prohibit cannabis use entirely. While previous research has associated discrete aspects of state cannabis regulation with individual outcomes, little is known about the administrative rules most relevant to older persons. We previously have observed how the progressive approach to legalization across the United States, which includes flexible regulation on legal access, medical program eligibility and qualifying conditions, potency limits, care giver autonomy and others has corresponded

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Díaz-Santos, Mirella, Sandy Alcantar, Maribel Magana, Sujey Martinez, and Taya Varteresian. "A SOCIAL CONNECTION HEALTH INTERVENTION FOR ISOLATED LATINX OLDER ADULTS AT RISK OF DEMENTIA." Innovation in Aging 6, Supplement_1 (2022): 262. http://dx.doi.org/10.1093/geroni/igac059.1039.

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Abstract COVID-19 exacerbated the “epidemic of loneliness.” Although loneliness and social isolation are social determinants of health and Alzheimer’s dementia (AD), culturally and linguistically responsive social connection interventions tailored to Spanish-Speaking community-dwelling immigrant older adults at higher risk of AD are lacking. UCLA’s Hispanic Neuropsychiatric Center of Excellence (HNCE) collaborated with Los Angeles County Department of Mental Health (LACDMH) to develop and implement a community-partnered social connection group intervention via Telehealth. All clients are homeb

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Bowen, Gary L., and Todd M. Jensen. "Late-Life Divorce and Postdivorce Adult Subjective Well-Being." Journal of Family Issues 38, no. 10 (2015): 1363–88. http://dx.doi.org/10.1177/0192513x15596197.

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Late-life divorce—divorce at 50 years and older—is an increasingly common event in the United States. Despite this trend, the conditions and outcomes for those involved in late-life divorce remain understudied. Drawing on Schlossberg’s transition theory, we assess four sets of risk and protective factors (i.e., situation, self, support, and coping strategies) that could influence the postdivorce life satisfaction of adults who experience late-life divorces. Using the data set of a nationally representative study, we obtained an analytical sample of 164 men and 145 women who reported a divorce

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Rogers, Priscilla. "REFRAMING AGING AND VISION LOSS AS A PUBLIC HEALTH IMPERATIVE." Innovation in Aging 7, Supplement_1 (2023): 910. http://dx.doi.org/10.1093/geroni/igad104.2926.

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Abstract Severe vision impairment and blindness often have profound effects upon older people and those who care for and about them. Recent translational research reveals in the United States, 7.3% of older people report severe vision impairment or blindness. A recent study estimated that the population of people with vision impairment will increase by 118% by 2050. The greatest increases will be among the most senior, women, African Americans, and Hispanics. People with vision impairment report greater prevalence of chronic conditions, poorer health, and poorer quality of life than older peop

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Ro, Annie, Jennifer Van Hook, and Katrina M. Walsemann. "Undocumented Older Latino Immigrants in the United States: Population Projections and Share of Older Undocumented Latinos by Health Insurance Coverage and Chronic Health Conditions, 2018–2038." Journals of Gerontology: Series B 77, no. 2 (2021): 389–95. http://dx.doi.org/10.1093/geronb/gbab189.

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Abstract Objectives This article focuses on the older Latino undocumented population and anticipates how their current demographic characteristics and health insurance coverage might affect future population size and health insurance trends. Methods We use the 2013–2018 American Community Survey as a baseline to project growth in the Latino 55 and older undocumented population over the next 20 years. We use the cohort component method to estimate population size across different migration scenarios and distinguish between aging in place and new immigration. We also examine contemporary health

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Campbell, Michael C., and Matt Vogel. "The demographic divide: Population dynamics, race and the rise of mass incarceration in the United States." Punishment & Society 21, no. 1 (2017): 47–69. http://dx.doi.org/10.1177/1462474517734166.

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This manuscript examines whether certain fundamental demographic changes in age structures across racial groups might help explain incarceration rates in the United States. We argue that a “demographic divide”—a growing divergence in the age structures of blacks and whites—was an important factor that contributed to the nation’s rising incarceration rates. Where age disparities between blacks and whites were higher ideological conservatism and religious fundamentalism increased, as did incarceration rates. We contend that historical forces shape how groups respond to subsequent social problems

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de Lazaro, Stephanie Sam, Anchee Nitschke Durben, and Juliette Kline. "Oral Health for Older Adults: Policy Barriers and Opportunities." Innovation in Aging 5, Supplement_1 (2021): 947. http://dx.doi.org/10.1093/geroni/igab046.3420.

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Abstract Tooth decay and gum disease are two of the most common chronic health conditions in the United States, are reversible and preventable, and impact approximately 68% of older adults nationwide (CDC, 2021; World Health Organization, 2020). While the Affordable Care Act added provisions to health prevention services, oral health prevention coverage was only included for children, leaving many adults and older adults without coverage (Nasseh & Vujicic, 2017). The research team used a rapid review process using 17 key search term combinations to identify literature in three medical data

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Robinson, Erin, Tonya Taylor, and Charles Emlet. "Social Determinates of Health Among Older Adults Living With HIV/AIDS." Innovation in Aging 5, Supplement_1 (2021): 421. http://dx.doi.org/10.1093/geroni/igab046.1634.

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Abstract In the United States (U.S.), people aged 55 years and older make up 36% of people living with HIV/AIDS (PLWHA). Nearly 20% of new HIV infections occur among people aged 50+. While medical breakthroughs in HIV treatment have allowed PLWHA to live longer, healthier lives, structural conditions still exist that affect health outcomes of older adults living with HIV/AIDS (OALWHA). These conditions continue to disproportionately burden OALWHA, particularly older adults of color. Therefore, a greater understanding of the social determinates of health (SDH) is essential to continue making pr

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Woolfolk, Zora, Jillian Silva-Jones, Ariana Calloway, Mattina Davenport, and Lauren Whitehurst. "0381 Racial Sleep Disparities in the United States: A Systematic Review of Labor Practices and Sleep Health Across the Lifespan." SLEEP 48, Supplement_1 (2025): A166. https://doi.org/10.1093/sleep/zsaf090.0381.

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Abstract Introduction Black Americans, compared to other social groups, disproportionately experience poor sleep outcomes throughout their lifespan. In this systematic review, we examined how labor conditions in the US may contribute to sleep inequities among Black Americans. Methods We conducted keyword combination searches using sleep, age, labor, and race in university and publicly available databases, including Google Scholar and PubMed. We organized the resulting articles into six categories that identified fairness, safety, and health of the work environment (i.e., pay, work hazards, wor

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Li, Luming. "Suicide Prevention in Older Adults: Evidence-Based Approaches for Care." Innovation in Aging 4, Supplement_1 (2020): 624–25. http://dx.doi.org/10.1093/geroni/igaa057.2129.

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Abstract Suicide in older adults is a major public health concern. Data of suicide rates of older adults from the Centers for Disease Control suggests that suicide is more frequent in older adults and warrants further examination of treatment and public health prevention approaches. Risk factors for suicide in the elderly include functional disability, multiple chronic physical conditions, and social isolation. Several advances have been made in healthcare policy to address practical, evidence-based approaches to preventing suicide and treating behavioral health conditions such as depression,

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Backhaus, Megan, An-Ting Jhuang, Ben Griffith, and Lauren Bangerter. "Leveraging Medical Claims to Predict Long-term Care Transitions among Older Adults in the United States." Innovation in Aging 5, Supplement_1 (2021): 944. http://dx.doi.org/10.1093/geroni/igab046.3411.

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Abstract Most older adults prefer to age in place rather than moving to a long-term care (LTC) facility, but little is known about the factors that predict entry into LTC. This study sought to utilize administrative claims data to understand the predictors of LTC transitions using de-identified claims data from Medicare Advantage members in the UnitedHealth Group Clinical Discovery Database. We investigated LTC transitions of 250,587 adults (Mean age = 77, standard deviation = 7.75) between January 1, 2016 and December 31, 2019. Types of predictors for these transitions include aggregated medi

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McConatha, Jasmin Tahmaseb. "Aging, Vulnerability and Managing Type 2 Diabetes During a Pandemic." Advances in Social Sciences Research Journal 7, no. 6 (2020): 106–11. http://dx.doi.org/10.14738/assrj.76.8354.

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Older men and women have been found to be more vulnerable to negative outcomes should they contract Covid19, particularly if they also have comorbid conditions such as type 2 diabetes. Cultural, racial, ethnic, and social class differences exist in vulnerability to Covid19 and in the prevalence of type 2 diabetes. In the United States, for example, diabetes rates for minority and immigrant populations are higher than for non-Hispanic whites. During the a social health crisis, it is helpful to explore the ways that illness management and associated vulnerability influences the ways that minorit

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Lakshman, Nivan, Claire Gallion, Zhidong Wang, Vishaal Motla, Pravin Vikram, and Janis Coffin. "Coordination of Care to Meet the Quadruple Aim." Healthcare Administration Leadership & Management Journal 2, no. 2 (2024): 50–52. http://dx.doi.org/10.55834/halmj.4224836406.

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Coordination of medical services is not a novel framework for reducing healthcare costs while improving patient outcomes and experiences. Nevertheless, this goal has been found to be difficult to enact in practice. The implementation of effective care coordination faces a myriad of challenges: monitoring, sharing, and responding promptly to changes in a patient’s health status; ensuring clear and transparent communication with patients and caregivers; and addressing social determinants of health. As the adult population of the United States continues to get older, the number of patients with m

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Vang, Cindy, Yeonjung Lee, and Youhung Her-Xiong. "EXPERIENCES OF CHALLENGES AND DISCRIMINATION AMONG ASIAN AND ASIAN AMERICAN OLDER ADULTS." Innovation in Aging 8, Supplement_1 (2024): 654. https://doi.org/10.1093/geroni/igae098.2140.

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Abstract Asian Americans are one of the fastest-growing racial and ethnic minority older adult populations, with projections of up to 7.8 million in 2060. Despite the expected increase in this population, Asian Americans are often sidelined in discourses focused on discrimination and health disparities. The disparate discrimination and challenges for Asian and Asian American (AAA) older adults are not new; however, COVID-19 has exacerbated existing and emerging vulnerabilities and difficulties. The purpose of this study was to explore AAA older adults’ understanding and experiences of overcomi

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Adeoye-Olatunde, Omolola A., Tessa J. Hastings, Michelle L. Blakely, LaKeisha Boyd, Azeez B. Aina, and Fatimah Sherbeny. "Social Determinants of Health and Medication Adherence in Older Adults with Prevalent Chronic Conditions in the United States: An Analysis of the National Health and Nutrition Examination Survey (NHANES) 2009–2018." Pharmacy 13, no. 1 (2025): 20. https://doi.org/10.3390/pharmacy13010020.

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Background: The older adult population is rapidly expanding in the United States (US), with a high prevalence of high blood pressure, high cholesterol, and diabetes. Medication nonadherence is prevalent in this population, with less evidence on the influence of social determinants of health (SDoH). Thus, the objective of this study was to identify and prioritize SDoH associated with medication adherence among US older adults with these comorbidities. Method: Using the World Health Organization Commission on Social Determinants of Health and Pharmacy Quality Alliance Medication Access Conceptua

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Li, Wenjun, and Su-I. Hou. "Changes In Mental Health, Social Engagement, and Physical Activities During the COVID-19 Pandemic." Innovation in Aging 5, Supplement_1 (2021): 140–41. http://dx.doi.org/10.1093/geroni/igab046.541.

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Abstract The current COVID-19 pandemic has profoundly changed our behaviors and health, especially vulnerable community-dwelling older adults. This symposium includes three presentations that evaluated the pandemic’s impacts on mental health, social engagement and physical activity in healthy community-living older adults and those with dementia. Dr. Wenjun Li and his team examined the pandemic impact on mental health and social engagement among relatively healthy older adults residing in suburban and rural neighborhoods in Central Massachusetts, USA. The study reported significant variations

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Teaster, Pamela, and Cory Bolkan. "Abuse of and Intervention for Older Adults During the COVID-19 Pandemic." Innovation in Aging 5, Supplement_1 (2021): 86. http://dx.doi.org/10.1093/geroni/igab046.329.

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Abstract Beginning in the United States in 2020, SARS-CoV-2 lead to unprecedented changes in the lives of both younger and older people. Efforts to mitigate the spread of the novel coronavirus, which included physical distancing and self-quarantine not only upended the lives of many people but also created natural laboratory conditions for the mistreatment of older adults. Exploring the mistreatment of older adults during the pandemic presented an unprecedented opportunity to examine perspectives of service providers and affected older adults. This symposium offers four perspectives on this su

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Jiang, Hantao, and Xueqing Wang. "HEALTHY CAREGIVER SELECTION AMONG DEMENTIA CAREGIVERS: THE ROLE OF SOCIAL SUPPORT." Innovation in Aging 6, Supplement_1 (2022): 872–73. http://dx.doi.org/10.1093/geroni/igac059.3117.

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Abstract As of 2019, more than 4 million older adults aged 65+ in the United States are cognitively impaired, including the diagnoses of mild cognitive impairment (MCI) and dementia. Caregivers to these older adults bear significant burden, reflected as high prevalence of chronic stress and mental health problems among the caregiver population. It is thus crucial to understand the wellbeing of the caregiver population to design effective policies. Previous studies have documented survival advantage of dementia caregivers compared to non-caregiving individuals as well as other types of caregive

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Berish, Diane, and Terry Fulmer. "Engaging Isolated and Underserved Older Adults in 4Ms Care: Age-Friendly Care, PA." Innovation in Aging 5, Supplement_1 (2021): 313–14. http://dx.doi.org/10.1093/geroni/igab046.1223.

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Abstract Older adults, the largest segment of the US rural population, face significant disparities in health and healthcare compared to their non-rural peers, including more chronic health conditions, financial challenges, and social isolation. They have limited access to healthcare and social services for prevention, management and treatment of chronic conditions. Age-Friendly Care-PA, a partnership between Primary Health Network and Penn State College of Nursing, aims to reduce these disparities in care and services for rural older adults through co-designing their Geriatric Workforce Enhan

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Palmarini, Nicola, Monica Cominato, Francesca Luppi, et al. "SOCIAL ISOLATION AND NETWORKS DO DENSE URBAN CENTERS PROVIDE LARGE SUPPORTIVE SOCIAL NETWORK TO OLDER ADULTS? A CROSS-COUNTRY COMPARATIVE STUDY." Innovation in Aging 3, Supplement_1 (2019): S368. http://dx.doi.org/10.1093/geroni/igz038.1344.

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Abstract The urban-rural dichotomy underpins the common approach in studying environmental conditions influencing older adults’ lives characterized by post-Second World War urban migration in both Italy and the United States (US). However, the traditional opposition urban-rural dichotomy is inadequate to study how the environmental characteristics of a geographical area can account for the heterogeneous profile of its populations and its age distribution. This study aims to overcome the traditional mobility theories as an explanatory dichotomy for understanding the distribution of the age stru

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Juckett, Lisa, and Monica Robinson. "The Occupational Therapy Approach to Addressing Food Insecurity among Older Adults with Chronic Disease." Geriatrics 4, no. 1 (2019): 22. http://dx.doi.org/10.3390/geriatrics4010022.

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The older adult population is one of the fastest growing age groups in the United States. Various components influence productive aging, and current research has identified nutrition and healthy eating as key factors that impact older adults’ overall health status. While consumption of nutritious meals can help minimize the risk of health decline, the growing rate of food insecurity inhibits older adults’ abilities to access healthy food regularly. Additionally, the high prevalence of chronic disease and disability in older adults can also limit independent participation in food-related activi

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Aguila, Emma, Jaqueline L. Angel, and Kyriakos Markides. "OLD AND FORGOTTEN? CARE FOR ELDERS IN MEXICO AND THE U.S." Innovation in Aging 3, Supplement_1 (2019): S64—S65. http://dx.doi.org/10.1093/geroni/igz038.249.

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Abstract The United States and Mexico differ greatly in the organization and financing of their old-age welfare states. They also differ politically and organizationally in government response at all levels to the needs of low-income and frail citizens. While both countries are aging rapidly, Mexico faces more serious challenges in old-age support that arise from a less developed old-age welfare state and economy. For Mexico, financial support and medical care for older low-income citizens are universal rights, however, limited fiscal resources for a large low-income population create inevitab

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Fabbre, Vanessa, and Eleni Gaveras. "THE MANIFESTATION OF MULTI-LEVEL STIGMA IN THE LIVED EXPERIENCES OF TRANSGENDER OLDER ADULTS." Innovation in Aging 3, Supplement_1 (2019): S743. http://dx.doi.org/10.1093/geroni/igz038.2722.

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Abstract Transgender and gender nonconforming (TGNC) older adults experience disparities in mental health outcomes when compared to non-TGNC sexual minority older adults. Stigmatizing experiences are thought to influence these outcomes, but little is known about this process. Recent conceptualizations of stigma draw attention to multiple levels – individual, interpersonal, and structural – experienced by TGNC people of all ages. To explore how multi-level stigma manifests in the lives of TGNC older adults, we conducted a two-phase qualitative content analysis of in-depth biographical interview

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Crenshaw, David A., Lori Stella, Ellen O’Neill-Stephens, and Celeste Walsen. "Developmentally and Trauma-Sensitive Courtrooms." Journal of Humanistic Psychology 59, no. 6 (2016): 779–95. http://dx.doi.org/10.1177/0022167816641854.

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Courtrooms in the United States whether family court or criminal court fall far short of being either developmentally or trauma sensitive. While there is growing recognition that vulnerable child witnesses are at risk of retraumatization by court procedures and some judges have used their discretionary powers to render courtrooms less toxic to children, the system was designed by adults for adults, and certainly not for children. The court process especially in criminal trials does not typically take into account the developmental constraints of children nor do they fully understand trauma in

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Valero-Martínez, Carla, Christopher Martínez-Rivera, Jenny Zhen-Duan, Marie Fukuda, and Margarita Alegría. "Attitudes toward COVID-19 Vaccine Uptake: A Qualitative Study of Mostly Immigrant Racial/Ethnic Minority Older Adults." Geriatrics 8, no. 1 (2023): 17. http://dx.doi.org/10.3390/geriatrics8010017.

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(1) Background: Few qualitative studies address diverse older adults’ perceptions of COVID-19 vaccination in the United States, including non-English speakers and immigrant populations. This study aims to understand the attitudes of diverse, primarily immigrant older adults in the U.S. toward the COVID-19 vaccine and its influences on their vaccination decision-making. (2) Methods: The research team conducted semi-structured interviews (N = 100) in 2021 focused on understanding ethnically/racially diverse older adults’ perceptions of the COVID-19 vaccine. Interviews were recorded, coded, and a

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Treston, Carole. "Older Adults Aging With HIV: A Growing Population Experiencing Comorbidities and Social Isolation." Innovation in Aging 4, Supplement_1 (2020): 221–22. http://dx.doi.org/10.1093/geroni/igaa057.715.

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Abstract Significantly more than half of people living with HIV in the United States are over age 50 and at least half of that number are over 70 years old. Advances in antiretroviral treatments continue to extend the lifespan of people with HIV. However, people aging with HIV, particularly those diagnosed earlier in the epidemic, known as “long term survivors” are likely to face a myriad of challenges: clinical, psychosocial, financial, and logistical. Aging with HIV is a complex mix of long-term treatment effects, early onset of general aging, comorbidities and other confounding factors incl

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Ogletree, Aaron M., Mark Brennan-Ing, Rosemary Blieszner, Stephen E. Karpiak, and Laura P. Sands. "Health Burden, Support Adequacy, and Depressive Symptoms in Older Men With HIV." Gerontologist 59, no. 6 (2018): 1131–40. http://dx.doi.org/10.1093/geront/gny169.

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Abstract Background and Objectives Older adults with HIV face greater health burden than HIV-uninfected counterparts. Little is known about resources that might mediate the influence of physiological health burden on psychological well-being. Informed by the stress process model, we assessed the influence of multifaceted health burden indicators on depressive symptoms and evaluated the mediating effects of social support adequacy. Research Design and Methods This cross-sectional study used structural equation modeling with data from 640 older men who participated in the Research on Older Adult

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