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Full-Text Articles in Social and Behavioral Sciences

How Does Educational Attainment Influence The Perceived Need For Future Assistance With Activities Of Daily Living?, Julia M. Finan Apr 2024

How Does Educational Attainment Influence The Perceived Need For Future Assistance With Activities Of Daily Living?, Julia M. Finan

Population Health Research Brief Series

Adults often underestimate whether they will need assistance with activities of daily living (ADLs) as they age. This brief summarizes the results of a recent study that used data from the 2011-2014 National Health Interview Survey (NHIS) to examine educational differences in perceived need for future ADL assistance among 54,946 adults aged 40 to 65 years in the United States. Even though adults with less education are more likely to require long-term ADL care services and supports, results show that they are less likely than their more highly educated peers to perceive the need for future ADL assistance.


Adopting The Standard Medical Deduction Increased State Snap Enrollment And Benefits, Yuwei Zhang, Jun Li, Dongmei Zhu, Colleen Heflin Apr 2024

Adopting The Standard Medical Deduction Increased State Snap Enrollment And Benefits, Yuwei Zhang, Jun Li, Dongmei Zhu, Colleen Heflin

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is a critical safety net program that helps reduce food insecurity among low-income households in the United States. However, many eligible households do not participate in SNAP due to burdensome administrative requirements. To make it easier for more older adults and people with disabilities to participate in SNAP, many states have adopted the Standard Medical Deduction (SMD) to simplify administrative requirements. This brief summarizes findings from a study that examined the associations between state SMD adoption and SNAP participation and benefits from 2004 to 2019.


Older Adults Are At Greater Risk Of Opioid Use Disorder In Communities With High Social Vulnerability, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews, Carla Shoff Mar 2024

Older Adults Are At Greater Risk Of Opioid Use Disorder In Communities With High Social Vulnerability, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews, Carla Shoff

Population Health Research Brief Series

The prevalence of opioid use disorder (OUD) among older adults has increased and imposes a heavy burden on the health care system in the United States. This brief summarizes findings from a study that used data from the Centers for Medicare and Medicaid Services to examine how county characteristics contributed to the prevalence of OUD among Medicare beneficiaries age 65+ in U.S. counties in 2021. They found that the prevalence of OUD among these adults is higher in counties with more place-level social vulnerability (e.g., socioeconomic disadvantage, high housing cost burden).


Cognitive Functioning Is Higher Among Older Adults In Walkable Neighborhoods That Have Low Economic Disadvantage, Tse-Chuan Yang, Seulki Kim, Seung-Won Emily Choi, Shannon Halloway, Uchechi A. Mitchell, Benjamin A. Shaw Mar 2024

Cognitive Functioning Is Higher Among Older Adults In Walkable Neighborhoods That Have Low Economic Disadvantage, Tse-Chuan Yang, Seulki Kim, Seung-Won Emily Choi, Shannon Halloway, Uchechi A. Mitchell, Benjamin A. Shaw

Population Health Research Brief Series

Living in neighborhoods with poor built and social environments, such as low walkability and high concentrations of low-income populations, is associated with low levels of cognitive functioning among older adults. This brief summarizes findings from a study that aims to understand how U.S. older adults’ (age 65+) exposures to residential neighborhood environments – specifically walkability and concentrated socioeconomic disadvantage – are associated with their cognitive functioning between 2010 and 2018. The authors also examined how these associations vary by older adults’ education level and household income level.


Adopting The Standard Medical Deduction Increased State Snap Enrollment And Benefits, Yuwei Zhang, Jun Li, Dongmei Zuo, Colleen Heflin Feb 2024

Adopting The Standard Medical Deduction Increased State Snap Enrollment And Benefits, Yuwei Zhang, Jun Li, Dongmei Zuo, Colleen Heflin

Center for Policy Research

The Supplemental Nutrition Assistance Program (SNAP) is a critical safety net program that helps reduce food insecurity among low-income households in the United States. However, many eligible households do not participate in SNAP due to burdensome administrative requirements. To make it easier for more older adults and people with disabilities to participate in SNAP, many states have adopted the Standard Medical Deduction (SMD) to simplify administrative requirements. This brief summarizes findings from a study that examined the associations between state SMD adoption and SNAP participation and benefits from 2004 to 2019.


Cognitive Functioning Among U.S. Older Adults Differs By Gender And Urbanicity, Elizabeth Lawrence, Samantha John, Tirth Bhatta Jan 2024

Cognitive Functioning Among U.S. Older Adults Differs By Gender And Urbanicity, Elizabeth Lawrence, Samantha John, Tirth Bhatta

Population Health Research Brief Series

There are no widely accessible and effective medical therapies to prevent or treat Alzheimer’s disease and related dementias for the U.S. older adult population, making prevention of cognitive decline particularly important. Many social factors shape cognitive functioning, leading to disparities in cognitive functioning across groups and geographic areas. This data slice uses data from the Health Retirement Study to describe how cognitive functioning among adults ages 50+ differed by gender and across urban, suburban, and ex-urban areas in the U.S. from 1999-2016. The results show that cognitive functioning was higher among women than men, but these gender differences varied by …


Older Adults With A History Of Psychiatric Conditions Experience More Cognitive Decline Than Older Adults Without This History, Maria T. Brown, Miriam Mutambudzi Jul 2023

Older Adults With A History Of Psychiatric Conditions Experience More Cognitive Decline Than Older Adults Without This History, Maria T. Brown, Miriam Mutambudzi

Population Health Research Brief Series

Having psychiatric conditions (such as bipolar disorder, schizophrenia, and major depressive disorder) throughout one’s life can lead to faster rates of cognitive decline as one ages. This data slice explores the associations between psychiatric history and cognitive function among U.S. White, Black, and Hispanic adults ages 65 and older from 1995-2014. Findings demonstrate that having a history of psychiatric problems is related to lower cognitive functioning and a faster rate of cognitive decline for all three groups, but Black and Hispanic adults experience steeper declines compared with White adults.


Medicaid-Insured Older Adults On Snap May Have Stronger Medication Adherence, Colleen Heflin, Chinedum O. Ojinnaka, Irma A. Arteaga, Leslie Hodges, Gabriella Alphonso Apr 2023

Medicaid-Insured Older Adults On Snap May Have Stronger Medication Adherence, Colleen Heflin, Chinedum O. Ojinnaka, Irma A. Arteaga, Leslie Hodges, Gabriella Alphonso

Center for Policy Research

For older adults with hypertension, medication adherence is critical to decreasing hospitalization, poor health outcomes, and healthcare costs. The Supplemental Nutrition Assistance Program (SNAP)—the largest food and nutrition assistance program in the United States—could protect against medication non-adherence. This brief summarizes the findings from a recent study, which linked Missouri Medicaid administrative claims data to SNAP data from 2006 to 2014. The findings suggest that longer and consistent receipt of SNAP benefits was associated with higher levels of antihypertensive medication adherence among Medicaid-insured individuals aged 60 years and older.


Medicaid-Insured Older Adults On Snap May Have Stronger Medication Adherence, Colleen Heflin, Chinedum O. Ojinnaka, Irma A. Arteaga, Leslie Hodges, Gabriella Alphonso Apr 2023

Medicaid-Insured Older Adults On Snap May Have Stronger Medication Adherence, Colleen Heflin, Chinedum O. Ojinnaka, Irma A. Arteaga, Leslie Hodges, Gabriella Alphonso

Population Health Research Brief Series

For older adults with hypertension, medication adherence is critical to decreasing hospitalization, poor health outcomes, and healthcare costs. The Supplemental Nutrition Assistance Program (SNAP)—the largest food and nutrition assistance program in the United States—could protect against medication non-adherence. This brief summarizes the findings from a recent study, which linked Missouri Medicaid administrative claims data to SNAP data from 2006 to 2014. The findings suggest that longer and consistent receipt of SNAP benefits was associated with higher levels of antihypertensive medication adherence among Medicaid-insured individuals aged 60 years and older.


How Has Grandparenthood Changed In Rural China?, Merril D. Silverstein Nov 2022

How Has Grandparenthood Changed In Rural China?, Merril D. Silverstein

Population Health Research Brief Series

China’s rapid modernization and development have led to changes across Chinese society, including within the family. China is experiencing declining birth rates, meaning that fewer older adults are becoming grandparents. At the same time, there has been growing demand for grandparents to serve as caregivers for their grandchildren. This data slice examines the changes in grandparenting in rural China and calls for policies that decrease caregiver burnout, stress, and associated poor health outcomes.


Older Adults On Snap Experience Gaps In Benefits, Colleen Heflin, Leslie Hodges, Irma A. Arteaga, Chinedum O. Ojinnaka, Gabriella Alphonso Nov 2022

Older Adults On Snap Experience Gaps In Benefits, Colleen Heflin, Leslie Hodges, Irma A. Arteaga, Chinedum O. Ojinnaka, Gabriella Alphonso

Population Health Research Brief Series

The Supplemental Nutrition Assistance Program (SNAP) is the largest food and nutrition assistance program in the United States. Burdens associated with SNAP recertification often lead to administrative churn, when a household experiences a gap in SNAP benefit receipt. Older adults are at risk of experiencing benefit gaps, which may negatively impact their health and nutrition. This brief summarizes results of a recent study that examined administrative churn among Missouri SNAP participants aged 60 years and older. The authors call for program changes that reduce the frequency and duration of churn among older adults.


Older Immigrants Are More Likely Than Older Nonimmigrants To Experience Loneliness, Stephanie Zemba, Janet Wilmoth Oct 2022

Older Immigrants Are More Likely Than Older Nonimmigrants To Experience Loneliness, Stephanie Zemba, Janet Wilmoth

Population Health Research Brief Series

Loneliness in older adults is a growing U.S. population health problem, especially among immigrants This research brief explores the impact of age at immigration on loneliness and considers factors such as health, socio-demographic characteristics, and engagement in volunteering on loneliness. Findings demonstrate the need for programs that promote social connection among older adult immigrants to combat feelings of loneliness.


In Rural America, Older Adult Vaccination Rates Were Higher In Counties With More Aging And Disability Services, Yue Sun, Danielle Rhubart Aug 2022

In Rural America, Older Adult Vaccination Rates Were Higher In Counties With More Aging And Disability Services, Yue Sun, Danielle Rhubart

Population Health Research Brief Series

Aging and disability services (ADS) played an important role for older adults in the COVID-19 vaccination rollout, including sharing information, providing transportation, and serving as vaccination sites. Using data from the National Neighborhood Data Archive and U.S. Centers for Disease Control and Prevention, this data slice describes the relationship between county ADS availability and older adult (ages 65+) vaccination rates. It finds that rural counties with higher ADS density have higher older adult vaccination rates. Because of the high risk of COVID-19 mortality and hospitalization for older adults and the large shares of older adults in rural areas, rural county …


Plant-Centered Diets Among Older Adults: The Need For Improved Nutritional Health Messaging, Margaret Rose May 2022

Plant-Centered Diets Among Older Adults: The Need For Improved Nutritional Health Messaging, Margaret Rose

Population Health Research Brief Series

By the year 2030, it is expected that 12% of the world’s population will be aged 65 years or older compared to 8.5% in 2015. This demographic shift will be accompanied by increased healthcare costs and greater demand on health care. One way aging adults may mitigate disease onset and progression is through increased consumption of plant-based foods. This issue brief examines the impact plant-based foods have on disease prevention and acceleration and calls for developing appropriate health messaging to encourage the acceptance and adoption of plant-centered diets among older adults.


Nine Ways Grandparenting Is Changing With The Covid-19 Pandemic, Madonna Harrington Meyer May 2022

Nine Ways Grandparenting Is Changing With The Covid-19 Pandemic, Madonna Harrington Meyer

Population Health Research Brief Series

Grandparents play a vital role in providing care for their grandchildren in the United States. However, long-term sociodemographic changes, including lower fertility rates and changes in employment and technology, along with massive upheavals prompted by the COVID-19 pandemic are changing grandparenting in important ways. This research brief describes these long-term sociodemographic changes and uses in-depth interviews conducted before the pandemic to illustrate nine specific ways grandparenting is shifting in the U.S. It concludes by calling for more supportive social welfare programs to support working families and reduce the reliance on grandparents for meeting childcare and financial needs.


Covid-19 Has Reduced The Latino Mortality Advantage Among Older Adults, Marc A. Garcia, Rogelio Sáenz May 2022

Covid-19 Has Reduced The Latino Mortality Advantage Among Older Adults, Marc A. Garcia, Rogelio Sáenz

Population Health Research Brief Series

The COVID-19 pandemic is quickly reshaping U.S. mortality patterns, especially among those aged 65 and older. While U.S Latinos have historically had lower mortality rates than Whites, the pandemic and other structural inequities have reduced this advantage. This research brief examines Latino-White differences in COVID-19 mortality rates among older adults and describes how those disparities have reduced the Latino mortality advantage in this age group.


Most Home-Delivered Meal Recipients With Dementia Receive Support From Friends And Family, But More Social Activity Is Needed, Claire Pendergrast Mar 2022

Most Home-Delivered Meal Recipients With Dementia Receive Support From Friends And Family, But More Social Activity Is Needed, Claire Pendergrast

Population Health Research Brief Series

Home-delivered meal programs reduce hunger and food insecurity, promote socialization, and improve health and wellbeing for older adults. Regular social support from home-delivered meal drivers, alongside social support from friends and family, may be key to preventing isolation and improving health for older adults with dementia. This research brief shows that home-delivered meal recipients with dementia receive significant support from friends and family, but 83% would like more social activity. To better support older adults with dementia and family caregivers, aging services providers should expand virtual and dementia-friendly social engagement programming.


Covid-19 Has Had Devastating Economic Impacts On Older Black And Latinx Adults, Claire Pendergrast, Amy Thierry, Marc A. Garcia Dec 2021

Covid-19 Has Had Devastating Economic Impacts On Older Black And Latinx Adults, Claire Pendergrast, Amy Thierry, Marc A. Garcia

Population Health Research Brief Series

Black and Latinx communities have been disproportionately affected by economic hardships during the pandemic, magnifying long-standing economic inequalities. This research brief shows that in the first year of the pandemic, older Black and Latinx adults experienced greater negative economic impacts than older White adults. Foreign-born and U.S.-born Latinx adults experienced especially significant economic hardships relative to other groups. To reduce the disproportionate economic impacts of crises like COVID-19 on older Black and Latinx adults, policymakers should prioritize economic relief measures and support broader social policy to reduce economic inequality.


The U.S. Should Expand Access To Dental Care For Older Adults, Madonna Harrington Meyer, Sarah Reilly, Julia Finan Nov 2021

The U.S. Should Expand Access To Dental Care For Older Adults, Madonna Harrington Meyer, Sarah Reilly, Julia Finan

Population Health Research Brief Series

Older adult Medicare recipients face high out-of-pocket dental expenses due to a lack of appropriate dental care coverage. Older adults with lower socioeconomic status tend to have worse oral health, less dental insurance coverage, greater difficulties finding a dentist, and low-quality care. This brief details the experiences socioeconomically disadvantaged older adults face in obtaining appropriate and affordable dental care and calls on Congress to include preventative and restorative dental care as part of the federal funding agenda.


Older Adults Are More Likely To Avoid Covid-19 Information, Julia Nolte, Corinna Löckenhoff Nov 2021

Older Adults Are More Likely To Avoid Covid-19 Information, Julia Nolte, Corinna Löckenhoff

Population Health Research Brief Series

Older adults are at higher risk of dying from COVID-19 but less interested in information that might lower the risk of getting or spreading the disease. This brief shows that in the first months of the pandemic, older adults were less likely to consume COVID-19 information or media than younger adults. These behaviors are associated with age differences in emotional experiences and preferences, with older adults feeling calmer and more interested in protecting their feelings than younger adults. To keep older adults informed on COVID-19, government and health officials should directly target communication efforts to older adults.


Older Adult Vaccination Rates Lag In Rural Areas And The South, Claire Pendergrast, Yue Sun Oct 2021

Older Adult Vaccination Rates Lag In Rural Areas And The South, Claire Pendergrast, Yue Sun

Population Health Research Brief Series

Older adults face especially severe health risks from COVID-19 compared to other age groups. Getting vaccinated is the most effective way for older adults to reduce their risk of serious illness or death. This brief examines geographic trends in COVID-19 vaccination rates for adults age 65+. The authors find that older adult vaccination rates are low in rural areas and especially low in the South.


Elder Mistreatment Is Pervasive In New York State, Karl Pillemer, David Burnes Sep 2021

Elder Mistreatment Is Pervasive In New York State, Karl Pillemer, David Burnes

Population Health Research Brief Series

Elder mistreatment is a pervasive problem that has major health and psychosocial consequences for older adults. This data slice shows that about 10% of older adults (age 60+) in New York State experienced elder mistreatment between 2009 and 2019. Age and poor self-rated health increase the risk of experiencing mistreatment. Black older adults are also at greater risk of financial abuse than Whites. Health care practitioners can play a key role in screening, providing education and awareness, and making appropriate referrals for older adults at risk of mistreatment.


Proper Medication Adherence Is A Challenge For Older Snap Participants With Chronic Health Conditions, Colleen Heflin, Chinedum O. Ojinnaka, Irma Arteaga, Lauryn Quick Aug 2021

Proper Medication Adherence Is A Challenge For Older Snap Participants With Chronic Health Conditions, Colleen Heflin, Chinedum O. Ojinnaka, Irma Arteaga, Lauryn Quick

Population Health Research Brief Series

Diabetes and hypertension are among the leading causes of poor health and mortality in the United States. Properly taking prescribed medications to manage these conditions is critical for maintaining health and preventing complications. This is especially true for older adults, who are more likely to live with these chronic conditions. This brief summarizes findings from a study of an older adults in Missouri who participated in the Supplemental Nutrition Assistance Program (SNAP) between 2006 and 2014. On average, 1 in 4 individuals with hypertension and 1 in 3 with diabetes did not properly take prescribed medications to manage their health …