Digital Commons Network^™

Life Expectancies With Depression By Age Of Migration And Gender Among Older Mexican Americans, Catherine García, Marc A. Garcia, Chi-Tsun Chiu, Fernando I. Rivera, Mukaila Raji

Department of Sociology: Faculty Publications

Background and Objectives: Prior studies examining depression among older Mexican Americans suggest both women and immigrants are at higher risk of depressive symptomatology than males and U.S.-born Mexican Americans. We use data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to examine whether life expectancy with depression and without depression varies by nativity, age of migration, and gender.

Research Design and Methods: Sullivan-based life tables were used to estimate depression life expectancies among Mexican Americans aged 65 years and older residing in the Southwestern United States. Depression is based on the 20-item Center for Epidemiological Studies …

Age & Dementia Friendly Cape Ann: A Regional Needs Assessment, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of SeniorCare, Inc. (hereafter referred to as SeniorCare), to learn about the age- and dementia-friendliness of the region of Cape Ann, including the Massachusetts municipalities of Essex, Gloucester, Manchester-by-the-Sea, and Rockport. The contents of this report are intended to inform SeniorCare for the purposes of planning and implementing the Age & Dementia Friendly Cape Ann (ADFCA) Initiative. The ADFCA Initiative builds on ten Areas of Focus, which are essential components of a livable …

Aging On Nantucket: A Community Needs Assessment, Caitlin Coyle, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

This report describes efforts undertaken by the Nantucket Center for Elder Affairs, Inc. (NCEA), in partnership with the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston. The purpose of these efforts was to investigate the needs, interests, preferences, and opinions of Nantucket’s older residents. The focus of this report is on the cohort of Nantucket’s residents age 60 and older. The contents of this report are intended to inform NCEA, the Saltmarsh Senior Center, the Council on Aging, the Town of Nantucket, and organizations that provide services to older residents, …

Resilience In American Indian And Alaska Native Public Health: An Underexplored Framework, Nicolette I. Teufel-Shone, Julie A. Tippens, Hilary C. Mccrary, John E. Ehiri, Priscilla R. Sanderson

Department of Child, Youth, and Family Studies: Faculty Publications

Objective: To conduct a systematic literature review to assess the conceptualization, application, and measurement of resilience in American Indian and Alaska Native (AIAN) health promotion.

Data Sources: We searched 9 literature databases to document how resilience is discussed, fostered, and evaluated in studies of AIAN health promotion in the United States.

Study Inclusion and Exclusion Criteria: The article had to (1) be in English; (2) peer reviewed, published from January 1, 1980, to July 31, 2015; (3) identify the target population as predominantly AIANs in the United States; (4) describe a nonclinical intervention or original research that identified resilience as …

The Experiences And Perceptions Of African American Women Who Reside In Nursing Homes, Lakeisha De Lon Riley

Walden Dissertations and Doctoral Studies

The purpose of this qualitative case study was to examine the experiences and perceptions of African American women who reside in a nursing home and to understand African American women's decisions for admitting to the facility. Social Learning Theory was applied to answer the question of how African American women's experiences and perceptions toward long-term care influence healthcare decisions and admission to a nursing home. Eleven participants interviewed in the study were at least 60 years old, admitted into the facility within the past two years and who had not previously resided in a nursing home. Yin's five step approach …

Prevalence And Trends In Morbidity And Disability Among Older Mexican Americans In The Southwestern United States, 1993–2013, Marc A. Garcia, Adriana M. Reyes

Department of Sociology: Faculty Publications

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.S.-born males. Additionally, results show significant interactions between nativity and age cohorts, with …

A Comprehensive Analysis Of Morbidity Life Expectancies Among Older Hispanic Subgroups In The United States: Variation By Nativity And Country Of Origin, Marc A. Garcia, Catherine Garcia, Chi-Tsun Chiu, Mukaila Raji, Kyriakos S. Markides

Department of Sociology: Faculty Publications

Background and Objectives: Although a clear advantage in mortality has been documented among older Hispanic subgroups, particularly the foreign-born, research examining health selectivity in morbidity life expectancies among older Hispanics are scarce. Differences in sociocultural characteristics among Hispanic subgroups may influence racial/ethnic and nativity disparities in morbidity. Research examining the heterogeneity among older Hispanic subgroups may further our understanding of why some Hispanics are able to preserve good health in old age, while others experience a health disadvantage. Thus, the primary goal of this analysis is to examine racial/ethnic, nativity, and country of origin differences in morbidity life expectancies among …

The Role Of Education In The Relationship Between Age Of Migration To The United States And Risk Of Cognitive Impairment Among Older Mexican Americans, Brian Downer, Marc A. Garcia, Joseph Saenz, Kyriakos S. Markides, Rebeca Wong

Department of Sociology: Faculty Publications

Prior research indicates age of migration is associated with cognitive health outcomes among older Mexican Americans; however, factors that explain this relationship are unclear. This study used eight waves from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to examine the role of education in the risk for cognitive impairment (CI) by nativity, age of migration, and gender. Foreign-born women had a higher risk for CI than U.S.-born women, regardless of age of migration. After adjusting for education, this risk remained significant only for late-life migrant women (risk ratio [RR] = 1.28). Foreign-born men who migrated at …

Type 2 Diabetes Management For Geriatric Veterans, Fachecia L. Fort

Walden Dissertations and Doctoral Studies

Managing diabetes in the geriatric long-term care population can be challenging, yet important because diabetes is a chronic, progressive disease. The purpose of this project was to identify clinical practice guidelines for managing Type 2 diabetes in geriatric veterans and to develop a class to educate providers on diabetes management in the geriatric long-term care population at a community living and rehabilitation center. The practice focused question asked if providing education to providers about the clinical practice guidelines for managing Type 2 diabetes in geriatric long-term care veterans would improve knowledge as measured by a pre- and posttest. The project …

Elder Care In Chile And The Us: Two Models Of Culture Change, Sarah Jane Robinson

Honors Theses

This project examines two long-term care models: the Green House Project model and the Little Sisters of the Poor Home for the Aged in Viña del Mar, Chile, under the lens of the long-term care culture change movement to explore what can be learned from each of these models to allow elders to grow in dignity and autonomy. The research methods used were primarily participant and non-participant observation, informal interviews, and review of social scientific and gerontological literature. Elements of culture change were found to be present in each model, both of which aim to provide person-centered care to elders. …

Impact Of Patient Demographics And Health Insurance On Hospital Discharge, Ana Acosta

Open Access Theses & Dissertations

Based on discharge data collected with 241 patients who received medical care from a fall injury between 2014 and 2015 at the emergency room in a general hospital in El Paso, Texas, I will examine whether individuals over age 55 have health insurance and the type of care that is recommended to patients after being discharged. In particular, I will examine demographics, including ethnicity, age, and language on whether the patient paid with insurance and the disposition of discharge from the emergency department after a fall. Additionally, I will examine which demographic factors are associated with disposition of discharge- facility, …

A Grounded Theory Of Millennials Job-Hopping, Deborah L. Rivers

Walden Dissertations and Doctoral Studies

Corporations are finding it challenging to attract and retain the top talented Millennials. Their frequent job-hopping is costing the U.S. economy $30.5 billion annually despite corporations' best efforts to retain them. The central research question concerns the decision-making process that Millennials use to decide whether to job-hop or stay with an organization. The purpose of this qualitative study was to develop a theory that explains the Millennials' process for deciding whether to job-hop or stay with an organization. The conceptual framework for this grounded theory research is generational theory, Herzberg's hygiene and motivational factors, and psychological contract theory. The data …

Preconceptional Health Behavior Change In Women With Overweight And Obesity: Prototype For Smart Strong Healthy Women Intervention, Frank T. Materia, Joshua M. Smyth, Kristin E. Heron, Marianne Hillemeier, Mark E. Feinberg, Patricia Fonzi, Danielle Symons

Psychology Faculty Publications

Background: The prevalence of maternal perinatal obesity is rising, and in turn, increases health risks and morbidity for both mother and child. Past evidence suggests the preconceptional Strong Healthy Women (SHW) intervention can reduce multiple biobehavioral risk factors for adverse perinatal health. The SHW intervention, however, was time- and resource-intensive to deliver. Mobile health (mHealth) technologies provide an opportunity to expand intervention reach while reducing implementation cost and burden. Previous research suggests that preconceptional women are broadly supportive of using smartphones for behavior change, yet few studies have elicited their specific preferences for a targeted mHealth intervention. The objective of …

Self-Rated Health Trajectories Among Married Americans: Do Disparities Persist Over 20 Years?, Terceira A. Berdahl, Julia Mcquillan

Department of Sociology: Faculty Publications

The purpose of this study is to understand self-rated health (SRH) trajectories by social location (race/ethnicity by gender by social class) among married individuals in the United States. We estimate multilevel models of SRH using six observations from 1980 to 2000 from a nationally representative panel of married individuals initially aged 25–55 (Marital Instability Over the Life Course Study). Results indicate that gender, race/ethnicity, and social class are associated with initial SRH disparities. Women are less healthy than men; people of color are less healthy than whites; lower educated individuals are less healthy than higher educated individuals. Women’s health declined …

Sociocultural Variability In The Latino Population: Age Patterns And Differences In Morbidity Among Older Us Adults, Catherine Garcia, Marc A. Garcia, Jennifer A. Alishire

Department of Sociology: Faculty Publications

BACKGROUND—The US Latino population is rapidly aging and becoming increasingly diverse with respect to nativity and national origin. Increased longevity along with medical advancements in treatment have resulted in a higher number of older Latinos living with morbidity. Therefore, there is a need to understand variability in Latino health among older adults.

OBJECTIVES—This paper documents mid- and late-life health differences in morbidity by race/ethnicity, nativity, and country of origin among adults aged 50 and older.

METHODS—We use data from the 2000–2015 National Health Interview Survey to calculate age-and gender-specific proportions based on reports of five morbidity measures: hypertension, heart disease, …

The Influence Of Multimorbidity On Leading Causes Of Death In Older Adults With Cognitive Impairment, Nicholas K. Schiltz, David F. Warner, Jiayang Sun, Kathleen A. Smyth, Stefan Gravenstein, Kurt C. Stange, Siran M. Koroukian

Department of Sociology: Faculty Publications

Objective: The aim of this study is to evaluate the relationship of leading causes of death with gradients of cognitive impairment and multimorbidity. Method: This is a population-based study using data from the linked 1992- 2010 Health and Retirement Study and National Death Index (n = 9,691). Multimorbidity is defined as a combination of chronic conditions, functional limitations, and geriatric syndromes. Regression trees and Random Forest identified which combinations of multimorbidity associated with causes of death. Results: Multimorbidity is common in the study population. Heart disease is the leading cause in all groups, but with a larger percentage of deaths …

Early Origins Of Adult Cancer Risk Among Men And Women: Influence Of Childhood Misfortune?, Blakelee R. Kemp, Kenneth F. Ferraro, Patricia M. Morton, Sarah A. Mustillo

Department of Sociology: Faculty Publications

Objective—To examine the effect of five childhood misfortune domains—parental behavior, socioeconomic status, infectious diseases, chronic diseases, and impairments—on all-site and selected site-specific cancer prevalence and all-site cancer incidence.

Method—Panel data from the Health and Retirement Study (2004–2012) were used to investigate cancer risk among adults above the age of 50.

Results—Risky parental behavior and impairment in childhood were associated with higher odds of all-site cancer prevalence, and childhood chronic disease was associated with prostate cancer, even after adjusting for adult health and socioeconomic factors. Moreover, having one infectious disease in childhood lowered the odds of colon cancer. Cancer trends varied …

Age Of Migration Differentials In Life Expectancy With Cognitive Impairment: 20-Year Findings From The Hispanic-Epese, Marc A. Garcia, Joseph L. Saenz, Brian Downer, Chi-Tsun Chiu, Sunshine Rote, Rebeca Wong

Department of Sociology: Faculty Publications

Background and Objectives To examine differences in life expectancy with cognitive impairment among older Mexican adults according to nativity (U.S.-born/foreign-born) and among immigrants, age of migration to the United States.

Research Design and Methods This study employs 20 years of data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to estimate the proportion of life spent cognitively healthy and cognitively impaired prior to death among older Mexican adults residing in the southwestern United States. We combine age-specific mortality rates with age-specific prevalence of cognitive impairment, defined as a Mini-Mental Status Exam score of less than 21 …

Narratives Of Baby Boomers: Envisioning Late Life Spiritual Resources, Jane A. Kuepfer

Theses and Dissertations (Comprehensive)

ABSTRACT:

In this narrative inquiry, first-wave baby boomers (six males and six females born between 1946 and 1955) reflected on their lives and envisioned living into old age. While literature has focused on trends in baby boomer spirituality, issues of aging, and spiritual needs and tasks among elders, this study listened for “spiritual resources.” Initially defined broadly as that which has sustained a person throughout their life and will sustain them in the future, spiritual resources came to be understood as those things, both internal and external, that address deep human need for such spiritual values as love, hope, peace, …

Real-World Large-Scale Iot Systems For Community Eldercare: A Comparative Study On System Dependability, Hwee-Pink Tan, Austin Zhang

Research Collection School Of Computing and Information Systems

The paradigm of aging-in-place — where the elderly live and age in their own homes, independently and safely, with care provided by the community — is compelling, especially in societies that face both shortages in institutionalized eldercare resources, and rapidly-aging populations. Internet-of-Things (IoT) technologies, particularly in-home monitoring solutions, are commercially available, and can be a fundamental enabler of smart community eldercare, if they are dependable. In this paper, we present our findings on system performance of solutions from two vendors, which we have deployed at scale for technology-enabled community care. In particular, we highlight the importance of quantifying actual system …

Disability Crossover: Is There A Hispanic Immigrant Health Advantage That Reverses From Working To Old Age?, Mara Getz Sheftel, Frank W. Heiland

Publications and Research

BACKGROUND Hispanic immigrants have been found to be more likely to have a disability than US-born populations. Studies have primarily focused on populations aged 60 and older; little is known about immigrant disability at younger ages.

OBJECTIVE Taking a broader perspective, we investigate whether Hispanic immigrants have lower disability rates in midlife; if so, at what ages this health advantage reverses; and the correlates of this pattern.

METHODS Using American Community Survey 2010–2014 data, we estimate age-specific disability prevalence rates by gender, nativity, education, and migration age from age 40 to 80. We also present estimates by six types of …

Effects Of Long-Term Participation In Tennis On Cognitive Function In Elderly Individuals, Scott Culpin

Theses: Doctorates and Masters

Many studies have reported the relationship between exercise and cognition with conflicting results. This may be due to differences in intervention durations, session lengths, intensities, and type of exercise. It has been suggested that exercises requiring greater cognitive demand such as football, basketball and racquet sports, are protective against cognitive decline, compared to less cognitively demanding exercises such as swimming, cycling and running, however, research concerning exercise types are currently limited. The present study tested the hypothesis that elderly individuals who had been regularly playing tennis more than 10 years, would have greater cognitive function than those who had been …

Intergenerational Financial Exchange And Cognitive Well-Being Among Older Adults In China, Ping Xu

Graduate Doctoral Dissertations

Although cognitive loss is part of normal aging, it has unfavorable consequences for older individuals, their family, as well as society. The prevalence of mild cognition impairment is expected to go up in China. How to maintain normal cognition for a longer period of time and to delay impair process is an emerging concern for older Chinese adults. Unlike Western countries, China lacks of formal support system. Intergenerational support between older parents and adult children is a predominant resource when they are in need. This study examines how intergenerational financial exchanges between older parents and their adult children is related …

Lived Experiences Of Battered Women In Ozamiz City, Philippines, Cynthia S. Superable

The Qualitative Report

Domestic violence is prevalent not only in the Philippines but also in other countries. This study explored how battered women viewed their experiences as victims using a hermeneutic phenomenological approach (van Manen, 2016). Using purposive sampling and snowball technique, the study identified six battered women who were interviewed using researcher-made guide questions. The responses generated from the interviews were transcribed and analyzed using Heidegger's hermeneutic phenomenology which aimed to understand the lived experiences of the participants. Four central themes were identified, namely recurrence of physical abuse, endurance to pain, disempowerment of women, and love for family. Battered women prefer to …

Neighborhood Cohesion, Neighborhood Disorder, And Cardiometabolic Risk, Jennifer N. Robinette, Susan T. Charles, Tara Gruenewald

Psychology Faculty Articles and Research

Perceptions of neighborhood disorder (trash, vandalism) and cohesion (neighbors trust one another) are related to residents’ health. Affective and behavioral factors have been identified, but often in studies using geographically select samples. We use a nationally representative sample (n = 9032) of United States older adults from the Health and Retirement Study to examine cardiometabolic risk in relation to perceptions of neighborhood cohesion and disorder. Lower cohesion is significantly related to greater cardiometabolic risk in 2006/2008 and predicts greater risk four years later (2010/2012). The longitudinal relation is partially accounted for by anxiety and physical activity.

Facing Obstacles As A Senior, Catherine Mccarthy

All Student Theses and Dissertations

Seniors are individuals who need the most assistance because they are a growing population in our society. It is estimated that by the year 2020, those 65 years and over will reach 55 million and those 85 years and over will number 7.3 million. Seniors need the most attention because daily items such as personal care, preparing a meal, going to the grocery store or housework become very challenging. This is when you need to acquire services that can help daily for these tasks. The Department of Aging plays a vital role when becoming a senior over the age of …

A Checklist For Mortals: Preparing For Death’S Arrival, Becky Daniel

College of Journalism and Mass Communications: Professional Projects

We learn everything from our parents—how to walk, talk and treat potential life partners. Yet our culture in the United States makes it difficult to talk to our parents about death and those consequences have a real impact. Closing a loved one’s estate can stretch from months to years without proper planning. While death is constant, the death industry is not. It is ever changing. And while all lives have equal value, there are many preparations that one person may need (veteran, parent, lotto winner) while another does not. The best way to prepare for death is to know its …

Older People In A Community Gospel Choir: Musical Engagement And Social Connection, Dawn Joseph, Jane Southcott

The Qualitative Report

This research explores the role of community music in the lives of older Australians. This qualitative case study investigated the meanings and understandings ascribed by participants to their musical engagement in the South of the River Community Gospel Choir. This mixed a cappella SATB choir was formed in 2002 in Melbourne. The choir began with a repertoire of African-American Gospel music and South African Freedom Songs. With time their musical choices have transitioned to include more contemporary Australian composed works. The choir sings in diverse community settings such as high security prisons, palliative care, hospitals and the more common range …

Interviewers’ Ratings Of Respondents’ Health: Predictors And Association With Mortality, Dana Garbarski, Nora Cate Schaeffer, Jennifer Dykema, Deborah Carr

Sociology: Faculty Publications and Other Works

Objectives

Recent research indicates that survey interviewers’ ratings of respondents’ health (IRH) may provide supplementary health information about respondents in surveys of older adults. Although IRH is a potentially promising measure of health to include in surveys, our understanding of the factors contributing to IRH remains incomplete. Methods

We use data from the 2011 face-to-face wave of the Wisconsin Longitudinal Study, a longitudinal study of older adults from the Wisconsin high school class of 1957 and their selected siblings. We first examine whether a range of factors predict IRH: respondents’ characteristics that interviewers learn about and observe as respondents answer …

An Exploration Of Dementia Friendly Communities From The Perspective Of Persons Living With Dementia, Catherine Hebert

Electronic Theses and Dissertations

The growing global prevalence of dementia coupled with a shift in public perception from a hopeless disease to the possibility of living well with dementia has led to the formation of dementia friendly communities (DFC). DFCs are a new phenomenon in the United States, with a gap in knowledge on input from people living with dementia (PLWD). This study investigated DFCs from the perspective of PLWD in Western North Carolina, with the following research questions:

1. How are interactions and relationships experienced by persons living with dementia in the community?
2. How is community engagement experienced by PLWD?
3. To what extent and …