Paula Natalia Barreto Parra, Vladimir Atanasov, Jeff Whittle, John Meurer, Qian Eric Luo, Ruohao Zhang, Bernard Black
{"title":"The Effect of the COVID-19 Pandemic on the Elderly: Population Fatality Rates, COVID Mortality Percentage, and Life Expectancy Loss.","authors":"Paula Natalia Barreto Parra, Vladimir Atanasov, Jeff Whittle, John Meurer, Qian Eric Luo, Ruohao Zhang, Bernard Black","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The COVID-19 pandemic has disproportionately affected the elderly. This Article provides a detailed analysis of those effects, drawing primarily on individual-level mortality data covering almost three million persons aged 65+ in three Midwest states (Indiana, Illinois, and Wisconsin). We report sometimes surprising findings on population fatality rates (\"PFR\"), the ratio of COVID to non-COVID deaths, reported as a percentage, which we call the \"Covid Mortality Percentage,\" and mean life expectancy loss (\"LEL\"). We examine how these COVID-19 outcomes vary with age, gender, race/ethnicity, socio-economic status, and time period during the pandemic. For all persons in the three Midwest areas, COVID PFR through year-end 2021 was 0.22%, mean years of life lost (\"YLL\") was 13.0 years, the COVID Mortality Percentage was 12.4%, and LEL was 0.028 years (eleven days). In contrast, for the elderly, PFR was 1.03%; YLL was 8.8 years, the COVID Mortality Percentage was 13.2%, and LEL was 0.091 years (thirty-four days). Controlling for gender, PFR and LEL were substantially higher for Blacks and Hispanics than for Whites at all ages. Racial/ethnic disparities for the elderly were large early in the pandemic but diminished later. Although COVID-19 mortality was much higher for the elderly, the COVID Mortality Percentage over the full pandemic period was only modestly higher for the elderly, at 13.2%, than for non-elderly adults aged 25-64, at 11.1%. Indeed, in 2021, this ratio was lower for the elderly than for the middle-aged, reflecting higher elderly vaccination rates.</p>","PeriodicalId":87150,"journal":{"name":"The elder law journal","volume":"30 ","pages":"33-80"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351604/pdf/nihms-1820046.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40592038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The elder law journalPub Date : 2020-01-01DOI: 10.47297/wspelwsp2515-824404.20200401
Mao Jing
{"title":"The rules of benefit connection of endowment insurance: : focusing on the basic endowment in- surance for urban employees","authors":"Mao Jing","doi":"10.47297/wspelwsp2515-824404.20200401","DOIUrl":"https://doi.org/10.47297/wspelwsp2515-824404.20200401","url":null,"abstract":"","PeriodicalId":87150,"journal":{"name":"The elder law journal","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89584373","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}
The elder law journalPub Date : 2020-01-01DOI: 10.47297/wspelwsp2515-824401.20200401
F. Abdullah, Li Jie
{"title":"Study on Whether the Consumers ’ Welfare is the Core Objective of the EU Competition Law","authors":"F. Abdullah, Li Jie","doi":"10.47297/wspelwsp2515-824401.20200401","DOIUrl":"https://doi.org/10.47297/wspelwsp2515-824401.20200401","url":null,"abstract":"","PeriodicalId":87150,"journal":{"name":"The elder law journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79839175","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}
The elder law journalPub Date : 2020-01-01DOI: 10.47297/wspelwsp2515-824402.20200401
Nan Cebing
{"title":"For Rural Old-age Support Security Situation of Legal Thought to TongShan County as Re- - spondents","authors":"Nan Cebing","doi":"10.47297/wspelwsp2515-824402.20200401","DOIUrl":"https://doi.org/10.47297/wspelwsp2515-824402.20200401","url":null,"abstract":"","PeriodicalId":87150,"journal":{"name":"The elder law journal","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79080171","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}
The elder law journalPub Date : 2020-01-01DOI: 10.47297/wspelwsp2515-824405.20200401
Xu Hanshi, Yue Zhang
{"title":"Pension Risks and Aversion of Chinese Peasants: : An Empirical Study based on the View of Livelihood Capital","authors":"Xu Hanshi, Yue Zhang","doi":"10.47297/wspelwsp2515-824405.20200401","DOIUrl":"https://doi.org/10.47297/wspelwsp2515-824405.20200401","url":null,"abstract":"","PeriodicalId":87150,"journal":{"name":"The elder law journal","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72822614","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}
The elder law journalPub Date : 2020-01-01DOI: 10.47297/wspelwsp2515-824403.20200401
Qu YaNan, Zhai Shuying
{"title":"On the Obstacles and Paths of the Protection of LGBT in China","authors":"Qu YaNan, Zhai Shuying","doi":"10.47297/wspelwsp2515-824403.20200401","DOIUrl":"https://doi.org/10.47297/wspelwsp2515-824403.20200401","url":null,"abstract":"","PeriodicalId":87150,"journal":{"name":"The elder law journal","volume":"182 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76032908","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}
{"title":"Making End-of-Life Care Decisions for Older Adults Subject to Guardianship.","authors":"Zachary Sager, Casey Catlin, Heather Connors, Timothy Farrell, Pamela Teaster, Jennifer Moye","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This Article addresses end-of-life decision-making by guardians of older adults. First, the Article presents current definitions of hospice and palliative care and describes several common end-of-life disease trajectories. This background information introduces the diverse contexts in which guardians may find themselves when making end-of-life care decisions. The next section sets forth results of our recent research focusing on end-of-life care for unbefriended adults subject to guardianship. \"Unbefriended\" adults are thoses who lack decision-making capacity, have no advance directive, and have no family or friends to serve as a surrogate decision-maker. As such, professional guardians may be appointed when health care decisions are needed. Making health care decisions for such adults, particularly end-of-life care decisions, can be challenging. Little to nothing may be known about the person's values prior to guardianship and the patient may be unable to convey his or her wishes and goals to the guardian. The third section provides practical guidance to guardians. We discuss the assessment of values-with some thoughts about what to do when it is not possible to assess values. Finally, we discuss several common end-of-life health care decisions that may confront guardians-a code status change, a do not transfer order, and deescalating care within an intensive care unit. For these situations, we provide information from the perspective of our interdisciplinary team for the purposes of supporting guardians who face these challenging decisions.</p>","PeriodicalId":87150,"journal":{"name":"The elder law journal","volume":"27 1","pages":"1-34"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The elder law journalPub Date : 2017-01-01DOI: 10.47297/wspelwsp2515-824402.20170101
L. Hongwei
{"title":"Re-exploration on the Protection of the Rights of Adult Guardian in China","authors":"L. Hongwei","doi":"10.47297/wspelwsp2515-824402.20170101","DOIUrl":"https://doi.org/10.47297/wspelwsp2515-824402.20170101","url":null,"abstract":"","PeriodicalId":87150,"journal":{"name":"The elder law journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81888246","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}
The elder law journalPub Date : 2017-01-01DOI: 10.47297/wspelwsp2515-824408.20170101
Yang Lixin
{"title":"Legislative Breakthrough and Related Issues of China’s Elderly Guardianship System","authors":"Yang Lixin","doi":"10.47297/wspelwsp2515-824408.20170101","DOIUrl":"https://doi.org/10.47297/wspelwsp2515-824408.20170101","url":null,"abstract":"","PeriodicalId":87150,"journal":{"name":"The elder law journal","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82147974","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}
The elder law journalPub Date : 2017-01-01DOI: 10.47297/wspelwsp2515-824404.20170101
Li Xin
{"title":"Survey on Social Jurisprudence of Guardianship of the Elderly","authors":"Li Xin","doi":"10.47297/wspelwsp2515-824404.20170101","DOIUrl":"https://doi.org/10.47297/wspelwsp2515-824404.20170101","url":null,"abstract":"","PeriodicalId":87150,"journal":{"name":"The elder law journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82789484","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}