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Don’T “Just Call The Social Worker”: Training In Structural Competency To Enhance Collaboration Between Healthcare Social Work And Medicine, Margaret Mary Downey, Joshua Neff, Kate Dube

The Journal of Sociology & Social Welfare

In this short paper, we argue that providing in-depth structural competency training to both social workers and physicians has the potential to promote a deeper collaboration between these two fields—to the benefit of patients as well as providers. We describe structural competency’s evolution as a pedagogical and practical framework in medicine and social work, then discuss three overlapping ways in which structural competency can enhance collaboration between physician and social work practitioners and educators. First, training in structural competency can fill gaps in both medical and social work education and training—namely a lack of curricula that consistently attend to the …

Longitudinal Associations Among Personality, Perceived Control, And Health For American And Japanese Aging Adults, Masahiro Toyama

Human Development and Family Science

Perceived control is associated with health throughout adulthood, yet has also been found to decline with age possibly due to age-related experiences of increasing losses and limitations in life circumstances. Perceived control may also be affected by individual personality characteristics, which also predict health through late adulthood. Although previous studies have addressed these associations, research is lacking in examining nuanced associations among personality, perceived control, and health all together as well as age and gender differences in these associations. Moreover, perceived control may be related to individualistic values (e.g., autonomy, agency) that vary cross-culturally and the implications of perceived control …

Advancing Social Connection As A Public Health Priority In The United States, Julianne Holt-Lunstad, Theodore Robles, David A. Sbarra

Faculty Publications

A robust body of scientific evidence indicates that being embedded in high-quality close relationships and feeling socially connected to the people in your life is associated with decreased risk for all-cause mortality as well as a range of disease morbidities. Despite mounting evidence that the magnitude of these associations is comparable to many leading health determinants (that receive significant public health resources), government agencies, healthcare providers and associations, and public/private healthcare funders are slow to recognize human social relationships as either a health determinant or health risk marker in a manner that is comparable to other public health priorities. This …

Assessing The Relationship Between Acute And Chronic Health Conditions And Transportation Disadvantage And Quality Of Life Among Older Adults In Tarrant County, Texas, James Craig Keaton

Social Work Theses - Archive

By the year 2035, for the first time in US history, there will be more older adults in the US than individuals under the age of 18 (Vespa, 2018), and Tarrant County, Texas is the fastest growing community in the country (US Census Bureau, 2018), with older adults comprising a significant portion of that growth (United Way Tarrant County Community Assessment, 2015). Accompanying this, older adults are among the most at-risk individuals for acute and chronic health problems and are the highest utilizers of health care (Health and Aging Policy Fellows Program, 2018). Syed, Gerber, and Sharp (2013) report the …

Perceived Stress And Cognitive Functions Among Chinese Older Adults: The Moderating Role Of Health Status, Yiwei Chen, Jiaxi Wang, Ying Liang, Fei Sun, Xinqi Dong

Psychology Faculty Publications

Objective: The primary purposes of the present study are 1) to investigate the stress-cognition relationship among U.S. Chinese older adults; and 2) to examine the moderating role of health status on the stress-cognition relationship. Method: Data were drawn from the Population Study of Chinese Elderly in Chicago (PINE), which investigated 3,159 Chinese adults over 60 years old living in Chicago. Participants reported health status and completed the Chinese Perceived Stress Scale. Cognitive functions were measured by the East Boston Memory Test, the Digit Span Backwards, the Symbol Digit Modalities Test, and Chinese Mini-Mental State Examination. Results: Controlling for age, sex, …

Technologies For Ageing-In-Place: The Singapore Context, Nadee Goonawardene, Pius Lee, Hwee Xian Tan, Alvin C. Valera, Hwee-Pink Tan

Research Collection School Of Computing and Information Systems

The number of elderly citizens aged 65 and above in Singapore, is expected to double from 440,000in 2015, to 900,000 by 2030. Along with this “Silver Tsunami” is the upward trend of the numberof elderly who are living alone — which is estimated to increase from 35,000 in 2012 to 83,000 by2030. These exclude elderly who are alone at home when their family members are working.Elderly who are staying alone are at higher risk of social isolation and tend to have poorer accessto healthcare. In addition, the general elderly population is typically more susceptible to deteriorating health conditions, which can …

Untangling The Health Impacts Of Mexico - U.S. Migration, David Ortmeyer, Michael A. Quinn

Economics Faculty Publications

Research has found that immigrant health has a tendency to decline with time spent in the United States. Using data from the Mexican Migration Project from 2007-2014, this paper is the first to test the impact of domestic and international migration on different types of health measures. Results find cumulative U.S. migration experience has a negative impact both on self-reported and objective health measures. By contrast, the number of trips to the United States and migrations made within Mexico impact individual’s self-assessment of their health but not objective health measures. The analyses suggest that differences in self-reported versus objective health …

Testosterone And The Adult Male, Alex Straftis

Calvert Undergraduate Research Awards

Abstract

In the last 15 years, prescription testosterone sales have increased almost threefold. Testosterone is a powerful hormone, which has both physiological and behavioral effects on the adult male. These effects vary over a man’s life course and social ecology. In a natural setting, testosterone reaches a peak during early adulthood, declines gradually over midlife, and has exponential drops after the age of 70. Increasing testosterone, through testosterone replacement therapy (TRT), past early adulthood, is an evolutionary novel circumstance for an adult male. To gauge these effects, and the motivations that initiated them, this study conducted a preliminary text analysis …

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 …

The Feasibility Of Adopting An Evidence-Informed Tailored Exercise Program Within Adult Day Services: The Enhance Mobility Program., Diane King, S.A. Faulkner, Bridget Hanson

Reports

This article uses the RE-AIM framework to evaluate the feasibility of implementing Enhance Mobility (EM), a tailored, evidence-informed group exercise and walking program for older adults with dementia, into an adult day services center. Participant physical performance outcomes were measured at baseline and 8 months. Program staff were interviewed to understand implementation challenges. Participant outcomes did not change significantly, though gait speed improved from limited to community ambulation levels. Implementation challenges included space reallocation and adequate staffing. Adopting EM in adult day services is feasible, and has potential to reach older adults who could benefit from tailored exercise.

Hispanic College Students’ Health And Lifestyle, Mary Olle, Hyunsook Kang, Gina Fe G. Causin

Faculty Publications

The purpose of this study is to further expand the understanding of how Hispanic college students’ life styles influence their health. The research design employed a cross-sectional survey approach utilizing the purposive sample of 116 Hispanic undergraduate students (62 men, 54 women, all lived in the dormitory during the semester) at a university in Texas. The results indicated that there is a significant difference between Hispanic male and female college students in their life styles. In addition there is a significant relationship between health and life styles of Hispanic male and female students. It is necessary to have amacro-level of …

Opportunities And Challenges For Self-Monitoring Technologies For Healthy Aging: An In-Situ Study, Mirana Randriambelonoro, Yu Chen, Onur Yuruten, Pearl Pu

Faculty Publications, Information Systems & Technology

The current need to adopt a healthy lifestyle opens the way for researchers to investigate the efficiency of using technology to motivate a change towards such behavior. Senior people’s technology adoption barriers have been largely investigated in previous research but remain unclear to design efficient solution to promote behavior change in the long term. In this paper, we present the findings of an experiment with 20 older adults using pervasive sensors for 6 weeks at their homes. In particular, we present their attitudes for physical activities and self-monitoring technologies before and after the actual usage. We then discuss the opportunities …

Health And Recreation Perceptions Of Adults With Developmental Disabilities, Brooke N. Burk, Iryna Sharaievska

Publications

Because of the high rates of obesity among people with developmental disabilities (DD) and our limited knowledge about their perceptions of what it means to live a healthy lifestyle, it is imperative that we conduct research to expand our understanding of their attitudes towards and engagement in active recreation and healthy eating practices. Therefore, the objectives of this study were to explore (a) adults’ with DD attitudes toward healthy eating and active recreation; (b) adults’ with DD intentions and interests for active recreation; and (c) barriers to active recreation and healthy eating. Eighteen adults with DD (16 of whom were …

Nutrition And Health Equity: The Role Of Washington, D.C.’S East Capitol Urban Farm, Tia D. Jeffery

Saint Louis University Journal of Health Law & Policy

Disenfranchised communities have yet to become full beneficiaries of the core values of the Constitution. Health inequities are rooted in the social barriers connected to racism, classism, and sexism. Furthermore, marginalized groups in Washington, District of Columbia (D.C.), reside in food deserts. Urban agriculture has gained exposure as a working solution to the epidemic of food deserts in underserved urban communities. The East Capitol Urban Farm is one of the urban food hub extensions of the University of the District of Columbia College of Agriculture, Urban Sustainability, and Environmental Sciences. It operates in a food desert in Ward 7 of …

Impact Of Caregiver Depression On Health Of Family Caregivers Of Individuals With Alzheimer's Disease, Poonam Aryal

All Graduate Theses, Dissertations, and Other Capstone Projects

This study examines the health consequences of being a caretaker of someone with Alzheimer’s disease. Alzheimer’s disease (AD) is the most common type of dementia and is a significant public health problem that will intensify as the population ages. Caring for an individual with Alzheimer’s disease is more stressful than caring for a person with a physical disability; they need increased levels of supervision and personal care as the disease progress. The majority of care is provided at home by family caregivers. Caregivers often help people with Alzheimer’s to manage various issues from activities of daily living to financial management …

Cognitive Correlates Of Driving Behavior In Older Adults With Hiv, Caitlin Northcutt Pope

All ETDs from UAB

Human immunodeficiency virus (HIV) currently affects over 1 million individuals in the United States. It is estimated that by the year 2020, up to 70% of individuals with HIV in the United States will be ages 50 and older, as these individuals live longer due to more advanced medicine and later diagnosis. Aging research suggests individuals with HIV may be at risk for accelerated or accentuated aging making age-related deficits, particularly with cognition and everyday functioning, of public concern. The current study investigated the complex associations between age, HIV disease state, cognition, health, and driving in 139 older adults (Mage …

Bibliography Of Books On Sexual Minority Health 2005 To Mid-2015, Sharon A. Weiner

Libraries Faculty and Staff Scholarship and Research

No abstract provided.

Volunteer Delivery Of A Community-Based Strength Training Program: Comparison Of Adopting And Nonadopting Extension Educator Perspectives, Lisa T. Washburn, Carol E. Cornell, Lavona Traywick, Holly C. Felix, Martha Phillips

Journal of Human Sciences and Extension

Volunteer leaders are increasingly being utilized to deliver community strength training classes, but the factors affecting adoption of volunteer delivery approaches by educators or program managers have not been well explored. This study sought to identify these factors by comparing perspectives of adopting and nonadopting county Extension educators for a group strength training program delivered through county Cooperative Extension offices. Semistructured interviews were conducted with a purposive sample of adopting (n=6) and nonadopting (n=13) educators. Interviews were recorded, transcribed verbatim, and coded using thematic content analysis. Review of codes related to adoption or nonadoption of volunteer delivery approaches produced common …

Lansia Anggota Kelompok Bina Keluarga Lansia (Bkl) Adalah Sebuah Aset (Potensi) Bagi Pembangunan Di Masyarakat Rw 04 Pancoran, Jakarta Selatan, Juli Yanto, Wisni Bantarti

Jurnal Ilmu Kesejahteraan Sosial

This research depict a new paradigm of elderly. All this time, the elderly have been thouht as an unproductive age group, dependent to the family, consumptive, used up of the health budget, and useless jugment in the community. However, the existing of the BKL IMPALA group in the community indicates that the elderly in the BKL IMPALA group as an asset or potential human resources to participate in the development of RW 04 Pancoran, and they are not family’s or development’s burden. The result of this research that the elderly have been health, and active in every BKL IMPALA’s or …

Health Vulnerability Of Immigrants With Limited English Proficiency: A Study Of Older Korean Americans, Yuri Jang, Hyunwoo Yoon, Nan Sook Park, David A. Chiriboga

Social Work Faculty Publications

OBJECTIVES—To examine the extent to which limited English proficiency (LEP) poses a risk to physical and mental health, using older Korean Americans as a target population.

DESIGN—Cross-sectional survey.

PARTICIPANTS—Older Korean Americans (N = 1,301).

MEASUREMENTS—Health outcomes were indexed using binary variables covering activity limitation, self-rated health, and probable depression. Participants who reported that they spoke English less than very well were categorized as manifesting LEP.

RESULTS—Approximately 71% of the sample had LEP. Those with LEP scored lower on all measures of health than their English-proficient counterparts. In multivariate models, the risk of having activity limitations was 2.72 times as great …

Religiosity And Prayer In Relation To Health And Life Satisfaction In Older Adults, Victoria L. Beach

All College Thesis Program, 2016-2019

The United States is facing a rapidly growing elderly population. The population aged 65 and older was estimated to be 43.1 million in 2012 and this is projected to increase to 83.7 million by 2050.

This research sought to understand the older adult experience through the relationship between religiosity, prayer, health, and life satisfaction in adults aged 65-84. In this cross-sectional design, 222 older adults were surveyed using convenience sampling.

The results showed a positive relationship between intrinsic religiosity and life satisfaction, as well as a positive relationship between prayer experience and health.

These results could have implications for clinical …

Linking Discrimination To Health: Does Coping Matter For The Mental Health Of Black Men And Women?, Calley Fisk

Theses and Dissertations

Efforts to explain the negative association between discrimination and mental health have examined psychosocial responses to discrimination, such as coping responses or resources. However, there is limited research on how these coping strategies affect the discrimination-health relationship among Black Americans. Using data from the National Survey of American Life (NSAL), the present study examines the effect of perceived discrimination on depressive symptoms separately for men and women and tests the mediating and moderating influences of five coping strategies on this relationship. Results suggest that social support partially mediates the negative association between discrimination and mental health for men and women. …

Experiences Of Victimization And Health Care Access Among Non-Metropolitan Lgbtq+ Individuals, Ashley-Ann Marcotte

Theses and Dissertations (Comprehensive)

Lesbian, gay, bisexual, trans, and queer (LGBTQ+) individuals report substantial rates of violence, discrimination, and negative life events due to homophobia and transphobia and these experiences impact access to health care services and programs (Bauer et al, 2009; Grant, Mottet, Tanis, Harrison, & Keisling, 2010) These experiences result in LGBTQ+ communities needing services, programs, and social supports to provide safer spaces. Although it is well recognized that health care services are not a major determinant of health outcomes and yet use more than 60% of health spending (Canadian Institute for Health Information, 2014; Muzyka, Hodgson, & Prada, 2012). As such, …

Physical Activity And Aging Research: A Bibliometric Analysis, A.M. Müller, P. Ansari, N. Ale Ebrahim, S. Khoo

Research Publications (2011 to 2015)

Physical activity and aging research has burgeoned in the past few decades. Despite the increase in scholarly publications no attempts have been made to summarize the publication landscape and to identify works that had great impact to physical activity and aging research. We conducted a bibliometric analysis and collected publication data from 1980 to February 6, 2015 in the Web of Science Core Collection. Of the overall 9,935 publications most were published after 2007 and almost 60% were in the category of Geriatrics and Gerontology or Sport Sciences. Highly cited publications (n = 45) were mostly authored by researchers from …

Health And Mental Health Of Older Asian Americans: A Comparative Study Of Chinese, Filipino, Asian Indian, And Other Asian/Pacific Islander Elders, Jing Tan

Institute for Asian American Studies Publications

Purpose: This study examined the health and mental health status among U.S. Chinese, Filipino, Asian Indian, other Asian/Pacific Islander (API), and non-Hispanic White older adults, using nationally representative data. Method: An aggregated data file from the National Health Interview Survey from 2000 to 2009 was analyzed. The sample included 848 Chinese, 823 Filipino, 337 Asian Indian, 1,488 “other API,” and 74,042 non-Hispanic White older adults aged 65 and older. Bivariate and multivariate analyses were used to compare the health and mental health status among different ethnic groups of older adults and to identify related factors. Findings: The descriptive statistics reveal …

From Data To Community Action: A Case Study Building On The Massachusetts Healthy Aging Community Profiles, Nina M. Silverstein, Brittany Gaines, Darlene Adams, Dorothy Wideman

Office of Community Partnerships Posters

The Healthy Aging movement is a driver in the promotion of Evidence-Based programs such as Chronic Disease Self- Management (CDSMP) programs related to falls prevention and diabetes. Such programs are critical in any recommendations for short or long term interventions to communities to address challenges to aging well.

Reaping The Rewards Of Gardening: A One Day Workshop Demonstrating The Holistic Effects Of Incorporating Horticulture And Gardening Into Long Term Care Facilities, Annah Furr

MOT Student Capstones

As the American population continues to age the number of individuals ages 60 and over that will need full-time care will eventually outweigh the number of people 15 and under needing care. The total cost of care for the elderly individual will continue to rise due to an increased need for assist in institutional care. The elderly entering institutional care will experience physical, mental, emotional, and social changes that will influence their overall health and wellbeing. These changes can potentially start a domino effect that can lead to multiple comorbidities and global decline in abilities. Finding ways to promote positive …

Why Should I Get Married: Implications Of Class And Gender Differences On Health Outcomes For Cohabitating And Married Black Couples, Korrie Dchonn Johnson

Electronic Theses and Dissertations Archive

Health problems that disproportionately affect blacks could be regarded as a result of African American's tendency towards non-normative family patterns. Cohabitation has become a popular non-normative family formation within the United States as well as with blacks. This has led many to study the role of cohabitation on health. Scholars have compiled a long list of negative consequences of such practices, while generating another list of positive outcomes of marriage, but these studies of cohabitation might be capturing the consequences of resources and income disparities rather than cohabitation in itself. Existing studies of cohabitation, as well as marriage, neglect the …

Grandparents As Parents: Investigating The Health And Well-Being Of Trauma-Exposed Families, Ginny Sprang, Moon Choi, Jessica Eslinger, Adrienne Whitt-Woosley, Rachel Looff

Center on Trauma and Children Reports

An excerpt from the introduction:

Over the past two decades, the number of grandparents serving as primary caregivers for their grandchildren has steadily increased. Nationally, 42% of all grandparents living with grandchildren function as the primary caregivers (U.S. Census, 2006).

In the southern region of the country, this phenomenon is particularly salient, and expected to continue, with estimates that range from 7% to 15% higher than in 2000 (U.S. Census, 2004). Kentucky is no exception, with 67,394 children living with their grandparents, 58.8% of those grandchildren fall under the responsibility of their grandparents (American Community Survey, 2005). In fact, Region …

Dimensions Of Religiousness And Cancer Screening Behaviors Among Church-Going Latinas, Jennifer D. Allen, John E. Perez, Claudia R. Pischke, Laura S. Tom, Alan Juarez, Hosffman Ospino, Elizabeth Gonzalez-Suarez

Psychology

Churches are a promising setting through which to reach Latinas with cancer control efforts. A better understanding of the dimensions of religiousness that impact health behaviors could inform efforts to tailor cancer control programs for this setting. The purpose of this study was to explore relationships between dimensions of religiousness with adherence to cancer screening recommendations among church-going Latinas. Female Spanish-speaking members, aged 18 and older from a Baptist church in Boston, Massachusetts (N = 78), were interviewed about cancer screening behaviors and dimensions of religiousness. We examined adherence to individual cancer screening tests (mammography, Pap test, and colonoscopy), …