OBM geriatrics最新文献_第2页

Examining the Role Between Social Antecedents and Depression among LGBTQ+ Older Adults Eligible for Low-Income Housing 研究符合低收入住房条件的 LGBTQ+ 老年人中社会前因与抑郁之间的作用

OBM geriatrics Pub Date : 2023-12-15 DOI: 10.21926/obm.geriatr.2304261

Jalal Uddin, Meredith Greene, Leslie Dubbin, Madeline Deutsch, Jason Flatt

{"title":"Examining the Role Between Social Antecedents and Depression among LGBTQ+ Older Adults Eligible for Low-Income Housing","authors":"Jalal Uddin, Meredith Greene, Leslie Dubbin, Madeline Deutsch, Jason Flatt","doi":"10.21926/obm.geriatr.2304261","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304261","url":null,"abstract":"Housing is one of the top four most needed services for LGBTQ+ older adults, and this study focuses on the intersection of depression and social antecedents among LGBTQ+ older adults eligible for low-income housing. To explore social antecedents (i.e., demographics, early events, later events, social integration, and stressors) associated with screening positive for depression among low-income LGBTQ+ older adults from two cities in the Western United States. A cross-sectional study was conducted with LGBTQ+ older adults (n = 241). A two-item version of the Patient Health Questionnaire (PHQ-2) was used to screen for depression. Hierarchical logistic regression tested associations between screening positive for depression and social antecedents. The average age of participants was 68 years and 92.5% identified as LGBTQ+. Over 24% (n = 58) screened positive for depression (PHQ-2 ≥ 3). Bivariate analyses found associations between screening positive for depression and several social antecedents, including demographics, later events, social integration, and stressors. Hierarchical logistic regression models found that LGBTQ+ older adults earning $30,000 or less were nearly five times more likely to screen positive depression than those earning more (OR = 4.57, 95% CI = 1.53-13.66, p = 0.006). Additionally, stressors such as problems with memory (OR = 4.05, 95% CI = 1.66-9.85, p = 0.002) and poor/fair quality of life (OR = 5.44, 95% CI = 2.24-13.20, p < 0.001) were associated with a 4-to-5 times higher odds of screening positive for depression compared with those who did not have these stressors. These findings reveal patterns of associations between social antecedents and depression among LGBTQ+ older adults eligible for low-income housing. This emphasizes the need for future research on the impact of housing and related structural interventions to promote the mental health of diverse aging populations.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138997354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexual Orientation and Risk for Elder Abuse: Findings from the Canadian Longitudinal Study on Aging 性取向与虐待老人的风险：加拿大老龄问题纵向研究的发现

OBM geriatrics Pub Date : 2023-12-04 DOI: 10.21926/obm.geriatr.2304260

Gloria Gutman, M. Karbakhsh, Heather G. Stewart

{"title":"Sexual Orientation and Risk for Elder Abuse: Findings from the Canadian Longitudinal Study on Aging","authors":"Gloria Gutman, M. Karbakhsh, Heather G. Stewart","doi":"10.21926/obm.geriatr.2304260","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304260","url":null,"abstract":"This study addresses knowledge gaps concerning prevalence and risk factors for elder abuse among sexual minority (SM) compared to heterosexual Canadians aged 65+. Data derive from the Canadian Longitudinal Study on Aging, a national cohort study. Outcome variables include self-reports of psychological, physical, or financial abuse in the 12 months before interview and overall. Main explanatory variables are sexual orientation and gender identity; covariates include other socio-demographic characteristics, general and mental health. Overall prevalence of elder abuse was 10.0% among heterosexual and 12.0% among SM participants, with highest prevalence (18.1%) among SM females. The most common subtype was psychological abuse (8.8%), with highest prevalence among SM females (15.5%) followed by financial (1.4%), also with highest prevalence among SM females (7.0%). Physical abuse was least common (1.3%), with highest prevalence (2.4%) among SM males. Bivariate associations showed higher odds of experiencing psychological, financial and overall abuse among SM compared to heterosexual individuals (Odds Ratio (OR) = 1.41, 3.33 and 1.53, respectively), however within multivariable logistic regression models, sexual orientation was a significant predictor only for financial abuse (OR = 2.62). Our study is among the first to determine prevalence of elder abuse among SM older adults, and examine the interplay of gender identity and sexual orientation with other risk factors. Findings suggest divergent risk across gender and sexual orientation groups and abuse subtypes. Implications include addressing gaps in reporting and need to build capacity and agency for prevention and action, especially among SM females.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adaptation to Residential Care: Voices from New Zealand 适应寄宿护理：来自新西兰的声音

OBM geriatrics Pub Date : 2023-12-01 DOI: 10.21926/obm.geriatr.2304259

Myunik Panthi

引用次数: 0

Where Older Patients with Cancer Die? A Retrospective Study 老年癌症患者死于何处？一项回顾性研究

OBM geriatrics Pub Date : 2023-11-16 DOI: 10.21926/obm.geriatr.2304258

Wanda Liguigli, R. Cengarle, Anita Rimanti, Giovanna Catania, L. Faglioni, S. Voltolini, Roberto Barbieri, Ilenia Zanardi Di Pietro, Beatrice Vivorio, P. Morselli, C. Iridile, Laura Rigotti, Giuseppe Lucchini, Maurizio Cantore

{"title":"Where Older Patients with Cancer Die? A Retrospective Study","authors":"Wanda Liguigli, R. Cengarle, Anita Rimanti, Giovanna Catania, L. Faglioni, S. Voltolini, Roberto Barbieri, Ilenia Zanardi Di Pietro, Beatrice Vivorio, P. Morselli, C. Iridile, Laura Rigotti, Giuseppe Lucchini, Maurizio Cantore","doi":"10.21926/obm.geriatr.2304258","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304258","url":null,"abstract":"Home is the preferred place of death for most cancer patients. We examined which characteristics of older patients with cancer may have influenced this choice and how important may be relevant an early collaboration between oncologists and palliatives. Hospitalized patients aged ≥70 were screened by G8 questionnaire and evaluated by Comprehensive Geriatric Assessment (CGA) to identify frail and unfit ones and define the most appropriate end-of-life setting with palliatives. Using the G8 questionnaire, we screened 135 patients evaluated with the CGA and identified 75 frail, 55 unfit, and five fit. Sixty-six patients died in Hospice: 43 (50%) were male and 23 (47%) female, median age was 78. Forty-two (56%) patients were Frail and 23 (42%) Unfit. Patients with low/no dependence (median score ADL/IADL) were 14 (30%), and with high/moderate dependence were 51 (61%). Malnutrition was present in 43 patients (70%), and MMSE was none/low dementia in 28 (36%). Fifty-two patients died at home: 33 (38%) male and 19 (39%) female, median age was 78. Twenty-three (31%) patients were Frail and 27 (49%) Unfit. Patients with low/no dependence (median score ADL/IADL) were 28 (60%), and those with high/moderate dependence were 21 (25%). Malnutrition was present in 27 patients (33%), and MMSE was none/low dementia in 37 patients (48%). Active collaboration with palliatives and early identification of Unfit and Frail patients can allow 38% of patients to die at home. Patients who died at home have a better functional and cognitive status than patients who died in Hospice.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139269054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Phytomodification Effects of Visceral Lymph Node Aging 内脏淋巴结衰老的植物修饰作用

OBM geriatrics Pub Date : 2023-11-01 DOI: 10.21926/obm.geriatr.2304257

Vladimir N. Gorchakov, Kirill M. Nicolaychuk, Olga V. Gorchakova, Georgi A. Demchenko, Bayan A. Nurmakhanova

引用次数: 0

Narratives about Menopause 关于更年期的叙述

OBM geriatrics Pub Date : 2023-10-30 DOI: 10.21926/obm.geriatr.2304256

Lotte Hvas

{"title":"Narratives about Menopause","authors":"Lotte Hvas","doi":"10.21926/obm.geriatr.2304256","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304256","url":null,"abstract":"Narratives and how women interpret their symptoms have always been a part of how menopause is experienced. Today, as women feel more accessible to talk about menopause, new narratives are being formed and negotiated - both to menopause and concerning women becoming older. These different narratives mirror the fact that the transitional phase differs from woman to woman and that some women experience many symptoms while others do not seem bothered at all. Some narratives underscore menopause as a transformative period, offering opportunities to adapt to new life roles and highlighting middle-aged and older women as individuals of competence, confidence, and experience. Other narratives center on describing bodily symptoms - primarily \"classic symptoms,\" notably hot flushes, but also the broad array of physical and mental manifestations that may arise from one's early forties to late fifties. In this paper, I will, drawing on two decades of research on the topic, discuss examples from the ongoing debate about emerging new narratives: “The Competent Middle-Aged Woman,” “All Symptoms Are Menopausal Symptoms,” and “Menopause in the Workplace.” As medical society members who are in contact with women during this life phase, we need to support narratives that contribute to pride and strength while countering shame and embarrassment. Many women need more information about what is happening in their bodies, and some menopausal women need medical intervention. However, fostering healthy women’s trust in their bodies is equally important. Menopause is a natural part of a woman’s life, for better or worse, and not necessarily an issue that should be approached as a medical problem. It's crucial to maintain stories about competent middle-aged women being valuable assets in the workforce with excellent leadership potential instead of solely emphasizing the needs of those experiencing severe symptoms.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136104338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Pathophysiology and Management of NAFDL in Post-menopausal Women: An Updated Short Review 绝经后妇女NAFDL的病理生理学和治疗:一项最新的简短综述

OBM geriatrics Pub Date : 2023-10-26 DOI: 10.21926/obm.geriatr.2304255

Ayan Mishra, Barsha Panda, Debosree Ghosh

{"title":"The Pathophysiology and Management of NAFDL in Post-menopausal Women: An Updated Short Review","authors":"Ayan Mishra, Barsha Panda, Debosree Ghosh","doi":"10.21926/obm.geriatr.2304255","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304255","url":null,"abstract":"Non Alcoholic Fatty Liver Disease (NAFDL) is a condition in which an individual suffers from an accumulation of fat in the liver. This is a disease condition with a multifactorial etiology. Some potent causes of such conditions are altered thyroid condition, abnormal metabolism in the body due to aging or menopause, or any other hormonal imbalance. Most of these causes are regulated by genetics, lifestyle, and environmental factors. Menopause comes with tremendous hormonal turmoil in the human body and brings various abnormal conditions that significantly divert from physiological conditions. One such condition that comes along with menopause in women is NAFLD. Also, the progression of NAFDL is more in post-menopausal women than in premenopausal women. This review aims to comprehend and understand from the existing literature if the prevailing NAFLD condition worsens and aggravates in women with menopause or remains unaffected. This short review briefly discusses the pathophysiology of the onset and progression of NAFDL in post-menopausal women. Lifestyle restrictions, diet, proper monitoring, and medications and supplementations are the only ways to manage NAFLD in post-menopausal women. A detailed and better understanding of NAFDL, its onset, progression, and association with the physiological condition of post-menopausal women is necessary to better manage and treat the NAFDL condition in post-menopausal women.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134909176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Climate Change on Older Adults’ Mental Health: A Primer for Clinicians 气候变化对老年人心理健康的影响:临床医生入门

OBM geriatrics Pub Date : 2023-10-24 DOI: 10.21926/obm.geriatr.2304254

Andreea Seritan

引用次数: 0

Age-Related Pathologies and Life Span 与年龄相关的病理和寿命

OBM geriatrics Pub Date : 2023-10-11 DOI: 10.21926/obm.geriatr.2304253

Giuseppe Cocco, Stefano Pandolfi

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Screening and Treating Urinary Incontinence in Primary Care: A Missed Opportunity 筛查和治疗尿失禁在初级保健:一个错失的机会

OBM geriatrics Pub Date : 2023-10-05 DOI: 10.21926/obm.geriatr.2304252

Ushma J Patel, Madeline K Moureau, Joan M Neuner, Heidi W Brown

引用次数: 0