{"title":"Factors Associated With Length of Stay and Readmission Rates for Older Hospital in the Home Patients: A Systematic Review.","authors":"Kerry de Vent, Joanne E Porter, Jo-Ann Larkins","doi":"10.1177/08982643251329425","DOIUrl":"https://doi.org/10.1177/08982643251329425","url":null,"abstract":"<p><p>ObjectiveThe aim of this study is to conduct a systematic review of published literature to examine factors associated with Length of Stay (LOS) and Readmission Rates for older Hospital in the Home (HITH) patients.MethodIn accordance with PRISMA guidelines, seven databases were searched for peer-reviewed articles relating to HITH, older patients, LOS and readmissions.ResultsTwenty-nine studies met the inclusion criteria. Risk factors associated with increased readmissions and LOS were age, prior hospitalisations, illness severity, geriatric-related complications, and cognitive impairment. Most studies found that patients participating in HITH had a shorter initial acute hospitalisation LOS than patients transferred to a subacute hospital or rehabilitation ward. However, LOS and readmissions, comparing HITH to traditional in-hospital care, were inconsistent.ConclusionsOverall, LOS and readmission rates (comparing home-based care to hospital care) were inconsistent but appear related to patient demographics and disease profile and require further study.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251329425"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heather R Farmer, Jeffrey E Stokes, Alexis Z Ambroise, Valerie A Earnshaw
{"title":"An Investigation Into the Role of Attributions of Discrimination and Cognitive Functioning in Older Adults.","authors":"Heather R Farmer, Jeffrey E Stokes, Alexis Z Ambroise, Valerie A Earnshaw","doi":"10.1177/08982643251327506","DOIUrl":"https://doi.org/10.1177/08982643251327506","url":null,"abstract":"<p><p>ObjectiveLimited research has explored how the attributions of discrimination in later life are related to cognitive functioning.MethodsWe analyzed responses from 12,279 adults ages 65+ in the 2008 to 2018 waves of the Health and Retirement Study. Multilevel mixed models assessed whether cognitive functioning was associated with (1) everyday discrimination (without reference to attribution) and (2) frequency of 11 attributions of discrimination.ResultsDescriptive analyses highlighted variability in the characteristics associated with specific attributions of discrimination. We found that age was the most reported attribution of discrimination, followed by gender. Discrimination was associated with worse cognitive functioning, and frequent reports of certain attributions of discrimination (e.g., disability, sexual orientation) were associated with cognitive functioning.DiscussionThese results suggested that discrimination was harmful for cognitive health and that the perceived reasons for discrimination may have unique and negative implications for cognitive functioning among older adults.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251327506"},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ogochukwu Kelechi Onyeso, Chiedozie James Alumona, Akin Ojagbemi, Kelechi Mirabel Onyeso, Adesola C Odole, Janice Victor, Jon Doan, Toyin Bello, Oye Gureje, Oluwagbohunmi A Awosoga
{"title":"Sociodemographic Factors in Older Adults' Gait Speed Decline: A Gender Disaggregate Growth Curve Analysis of the Ibadan Longitudinal Study of Ageing.","authors":"Ogochukwu Kelechi Onyeso, Chiedozie James Alumona, Akin Ojagbemi, Kelechi Mirabel Onyeso, Adesola C Odole, Janice Victor, Jon Doan, Toyin Bello, Oye Gureje, Oluwagbohunmi A Awosoga","doi":"10.1177/08982643251329431","DOIUrl":"https://doi.org/10.1177/08982643251329431","url":null,"abstract":"<p><p>BackgroundGait speed is an important predictor of older adults' well-being. We estimated the influence of sociodemographic factors on the gait speed decline of community-dwelling older Nigerians.MethodsUsing the Ibadan Study of Ageing (2007, 2008, and 2009 cycles), we completed a gender disaggregate analysis of sociodemographic influences on participants' gait speed trajectory using mixed-design ANOVA and growth curve analysis.ResultsAt baseline, 53.2% of participants were female, 61.9% were married, with an average age of 75.5 ± 6.8 years and gait speed of 0.96 ± 0.32 m/s. Gender-specific models showed slower gait speed decline in men (β = -0.05, <i>p</i> < .001) compared to women (β = -0.09, <i>p</i> < .001). Widowhood (β = -0.07, <i>p</i> = .001) for women, high socioeconomic status (β = -0.01, <i>p</i> = .009) for men, and chronic disease burden for women (β = -0.02, <i>p</i> = .010) and men (β = -0.03, <i>p</i> = .008) were significant predictors of gait speed decline.ConclusionAddressing culture-related widowhood and women's vulnerabilities, improving health coverage, and promoting lifestyle modifications may mitigate mobility decline among older Nigerians.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251329431"},"PeriodicalIF":2.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth W Regan, Kathleen Cameron, Angelica Herrera-Venson, Gardenia A Juarez, Subashan Perera, Jennifer Vincenzo, Jennifer S Brach
{"title":"Characteristics of Evidenced-Based Falls Prevention Program Completers and Non-Completers and Difference in Outcomes.","authors":"Elizabeth W Regan, Kathleen Cameron, Angelica Herrera-Venson, Gardenia A Juarez, Subashan Perera, Jennifer Vincenzo, Jennifer S Brach","doi":"10.1177/08982643251327032","DOIUrl":"https://doi.org/10.1177/08982643251327032","url":null,"abstract":"<p><p>Evidenced-based community falls prevention programs can reduce falls in older adults. We sought to (1) describe the characteristics of program participants who met completion criteria by receiving the full program dose (completers) versus those who did not (non-completers), and (2) determine the differences in outcomes (falls, fear of falling and physical function) between the two groups. Data from ten programs from 2014-2019 were evaluated. Completers were older and reported more fear of falling and lower perceived health at baseline. A higher proportion of completers had reduced falls, decreased fear of falling, and were more likely to take actions to reduce fall risk. Both groups improved in physical function with no evidence of a difference between groups. While completers gained a greater benefit, both groups demonstrated a fall risk reduction. A larger loss of non-completers to follow-up may have impacted results. Targeting programs for individuals may improve completion rates.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643251327032"},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yannick Stephan, Angelina R Sutin, Brice Canada, André Hajek, Tiia Kekäläinen, Antonio Terracciano
{"title":"Personality and Markers of Lower Extremity Function: Findings From Six Samples.","authors":"Yannick Stephan, Angelina R Sutin, Brice Canada, André Hajek, Tiia Kekäläinen, Antonio Terracciano","doi":"10.1177/08982643241296995","DOIUrl":"10.1177/08982643241296995","url":null,"abstract":"<p><p>ObjectivesThis study investigated the associations between Five-Factor Model personality traits and balance impairment and lower limb strength.MethodsMiddle-aged and older adults (Age range: 34-104 years; <i>N</i> >27,000) from six large samples from the US and England were assessed for standing balance, lower limb strength, personality traits, sociodemographic, and health-related variables.ResultsHigher extraversion, openness, agreeableness, and conscientiousness were related to lower balance impairment risk and better lower limb strength. Higher neuroticism was associated with higher risk of balance impairment and with weaker lower limb strength. Biological, clinical, behavioral, and psychological factors partially accounted for these associations between personality and risk of balance impairment. Depressive symptoms and physical activity partially mediated the associations between personality traits and limb strength.DiscussionPersonality traits have replicable associations with lower extremity functions. The study identifies potential moderators and mediators of these associations.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"8982643241296995"},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph J Gallo, Timothy C Guetterman, Janiece L Taylor, Emerald Jenkins, Sarah M Murray
{"title":"Applying Mixed Methods to Enhance Health Equity in Research on Dementia and Cognitive Impairment.","authors":"Joseph J Gallo, Timothy C Guetterman, Janiece L Taylor, Emerald Jenkins, Sarah M Murray","doi":"10.1177/08982643241308933","DOIUrl":"https://doi.org/10.1177/08982643241308933","url":null,"abstract":"<p><p>ObjectivesThe NIA health disparities research framework details a life course approach that considers multilevel environmental, sociocultural, behavioral, and biological factors. Mixed methods are well-suited to study complex problems like structural racism, combining the benefits of generalizability with contextualization.MethodsWe draw on experience as faculty in the Mixed Methods Research Training Program for the Health Sciences to introduce mixed methods research on health equity and disparities in dementia and cognitive impairment.ResultsWe describe common reasons why health science investigators may use mixed methods, provide examples of mixed methods designs, and discuss challenges and practicalities of mixed methods research.DiscussionMany risk factors for dementia are modifiable, so the emphasis of research turns from description to intervention studies that enhance health equity. The information and insights acquired from the use of mixed methods are central in tailoring interventions to populations most affected by Alzheimer's disease and related dementias.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":"37 3-4_suppl","pages":"104S-113S"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah N Forrester, Joseph J Gallo, Jeannie-Marie Leoutsakos, Roland J Thorpe, Timothy M Hughes, Annette L Fitzpatrick, Stephen R Rapp, Teresa E Seeman
{"title":"Measuring the Interrelationships Between Cognitive Performance, Race/Ethnicity, Discrimination, Health Behaviors, and Physiological Dysregulation: A Path Analysis of the Multi-Ethnic Study of Atherosclerosis.","authors":"Sarah N Forrester, Joseph J Gallo, Jeannie-Marie Leoutsakos, Roland J Thorpe, Timothy M Hughes, Annette L Fitzpatrick, Stephen R Rapp, Teresa E Seeman","doi":"10.1177/08982643241309457","DOIUrl":"https://doi.org/10.1177/08982643241309457","url":null,"abstract":"<p><p>ObjectiveThe objective of this study was to examine the interrelationships between cognitive performance, race/ethnicity, discrimination, health behaviors, and physiological dysregulation.MethodsWe used data from the Multi-Ethnic Study of Atherosclerosis (MESA) (<i>N</i> = 1667). We used path analyses to examine the association between discrimination, physiological dysregulation, health behaviors, and cognitive performance using the Cognitive Ability Screening Instrument (CASI) at Exam 5 (2010-12) and Exam 6 (2016-18). We examined the relationship between discrimination at Exam 1 (2000-02) and physiological dysregulation at Exam 5. We used overall and ethnoracial-stratified path analysis. All models were adjusted for age, sex, site, depression, stress, socioeconomic status, and <i>APOE</i>-e4.ResultsPhysiological dysregulation was associated with worse cognitive performance in the full sample and among the White ethnoracial subgroup. Everyday discrimination was associated with better cognitive performance among Black participants.DiscussionAssociations between discrimination, physiological dysregulation, and cognitive performance vary and should be examined longitudinally.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":"37 3-4_suppl","pages":"40S-52S"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amanda Emerson, Xinyang Li, Nick Zaller, Megha Ramaswamy
{"title":"Characterizing Aging-Related Health in Older Women with a History of Incarceration: Multimorbidity, Polypharmacy, Mortality, Frailty, and Depression.","authors":"Amanda Emerson, Xinyang Li, Nick Zaller, Megha Ramaswamy","doi":"10.1177/08982643241233322","DOIUrl":"10.1177/08982643241233322","url":null,"abstract":"<p><strong>Objective: </strong>To characterize aging-related health in women with past CLSI and compare with women with no-CLSI.</p><p><strong>Method: </strong>Health and Retirement Study Wave 11 and 12 data from women age >50 with CLSI were compared with data from women age >50 with no-CLSI. Generalized linear models were estimated for aging-related health outcomes.</p><p><strong>Results: </strong>The group with CLSI (<i>n</i> = 230) was significantly younger than the no-CLSI group (<i>n</i> = 8035) yet had more physical, functional, and mental health challenges and fewer resources. Incarceration significantly predicted aging-related outcomes of multimorbidity, polypharmacy, mortality, frailty, and depression.</p><p><strong>Discussion: </strong>Earlier onset of physical and functional health conditions in women with past CLSI has implications for health education and promotion, clinical practice, and intervention design.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"135-147"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna-Maria Lahti, Tuija M Mikkola, Niko S Wasenius, Timo Törmäkangas, Jenni N Ikonen, Sini Siltanen, Johan G Eriksson, Mikaela B von Bonsdorff
{"title":"Social Mobility and Health-Related Quality of Life Trajectory Classes Among Older Women and Men.","authors":"Anna-Maria Lahti, Tuija M Mikkola, Niko S Wasenius, Timo Törmäkangas, Jenni N Ikonen, Sini Siltanen, Johan G Eriksson, Mikaela B von Bonsdorff","doi":"10.1177/08982643241242513","DOIUrl":"10.1177/08982643241242513","url":null,"abstract":"<p><strong>Objectives: </strong>Changes in socioeconomic status (SES) during life may impact health in old age. We investigated whether social mobility and childhood and adulthood SES are associated with trajectories of health-related quality of life (HrQoL) over a 17-year period.</p><p><strong>Methods: </strong>We used data from the Helsinki Birth Cohort Study (<i>n</i> = 2003, 46% men, mean age 61.5 years). Social mobility was derived from childhood SES, obtained from healthcare records, and register-based adulthood SES.</p><p><strong>Results: </strong>Logistic regression models showed that lower adulthood SES was associated with lower physical HrQoL trajectories. Among men low (OR 3.95, <i>p</i> < .001), middle (OR 2.20, <i>p</i> = .006), and declining lifetime SES (OR 2.41, <i>p</i> = .001) were associated with lower physical HrQoL trajectories compared to men with high SES. Socioeconomic status was not associated with mental HrQoL trajectories.</p><p><strong>Discussion: </strong>Declining SES during life course may have negative health consequences, while improving SES is potentially as beneficial as high SES to later-life health among men.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"220-232"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roshanak Mehdipanah, Emily M Briceño, Madelyn Malvitz, Wen Chang, Lisa Lewandowski-Romps, Steven G Heeringa, Deborah A Levine, Darin B Zahuranec, Kenneth M Langa, Xavier F Gonzales, Nelda Garcia, Lewis B Morgenstern
{"title":"Exploring Pathways to Caregiver Health: The Roles of Caregiver Burden, Familism, and Ethnicity.","authors":"Roshanak Mehdipanah, Emily M Briceño, Madelyn Malvitz, Wen Chang, Lisa Lewandowski-Romps, Steven G Heeringa, Deborah A Levine, Darin B Zahuranec, Kenneth M Langa, Xavier F Gonzales, Nelda Garcia, Lewis B Morgenstern","doi":"10.1177/08982643241235970","DOIUrl":"10.1177/08982643241235970","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines the associations of ethnicity, caregiver burden, familism, and physical and mental health among Mexican Americans (MAs) and non-Hispanic Whites (NHWs).</p><p><strong>Methods: </strong>We recruited adults 65+ years with possible cognitive impairment (using the Montreal Cognitive Assessment score<26), and their caregivers living in Nueces County, Texas. We used weighted path analysis to test effects of ethnicity, familism, and caregiver burden on caregiver's mental and physical health.</p><p><strong>Results: </strong>516 caregivers and care-receivers participated. MA caregivers were younger, more likely female, and less educated compared to NHWs. Increased caregiver burden was associated with worse mental (B = -0.53; <i>p</i> < .001) and physical health (B = -0.15; <i>p</i> = .002). Familism was associated with lower burden (B = -0.14; <i>p</i> = .001). MA caregivers had stronger familism scores (B = 0.49; <i>p</i> < .001).</p><p><strong>Discussion: </strong>Increased burden is associated with worse caregiver mental and physical health. MA caregivers had stronger familism resulting in better health. Findings can contribute to early identification, intervention, and coordination of services to help reduce caregiver burden.</p>","PeriodicalId":51385,"journal":{"name":"Journal of Aging and Health","volume":" ","pages":"148-155"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}