A5073529367- Chronic Disease Management Strategies
- Health disparities and outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Geriatric Care and Nursing Homes
- Global Health Care Issues
- Aging and Gerontology Research
- Dementia and Cognitive Impairment Research
- Frailty in Older Adults
- Diabetes Management and Education
- Global Health Workforce Issues
- Intergenerational Family Dynamics and Caregiving
- Global Cancer Incidence and Screening
- Health Promotion and Cardiovascular Prevention
- Cardiac Arrest and Resuscitation
- Antioxidant Activity and Oxidative Stress
- Plant Physiology and Cultivation Studies
- Family Caregiving in Mental Illness
- Palliative Care and End-of-Life Issues
- Liver Disease Diagnosis and Treatment
- Plant and soil sciences
- Retirement, Disability, and Employment
- Food Security and Health in Diverse Populations
- Employment and Welfare Studies
Oregon Health & Science University
2016-2025
University of Portland
2020-2024
Hebrew SeniorLife
2023
Ochin
2020-2023
Yale University
2022
University of Arkansas for Medical Sciences
2021
Boston Children's Hospital
2021
Portland State University
2020
VA Portland Health Care System
2016-2017
United States Department of Veterans Affairs
2017
Multimorbidity-having two or more coexisting chronic conditions-is highly prevalent, costly, and disabling to older adults. Questions remain regarding diseases accumulation over time whether this differs by racial ethnic background. Answering knowledge gap, study identifies differences in rates of disease multimorbidity development among non-Hispanic white, black, Hispanic participants starting middle-age followed up 16 years.We analyzed data from the Health Retirement Study (HRS), a...
The development of functional limitations among adults aged 65 or older has profound effects on individual and population resources. Improved understanding the relationship between co-occurring chronic diseases (multimorbidity) is an emerging area interest. objective this study was to investigate association multimorbidity community-dwelling in United States explore factors that modify association.We conducted a cross-sectional analysis using data from National Health Nutrition Examination...
Multimorbidity (multiple co-occurring chronic diseases) is associated with greater likelihood of disability and mortality, above beyond the risk attributable to individual diseases. This study identifies prevalent multimorbidity patterns evaluates their association among U.S. older adults. Prospective cohort using longitudinal Health Retirement Study data (2010–2012). We included 8,782 participants aged 65 years used negative binomial models examine prospective disability, measured by...
Abstract INTRODUCTION Multimorbidity is associated with increased risk of dementia, but previous estimation the joint contribution constituent conditions to dementia incidence did not model additive contributions or temporal proximity in sequential onset conditions. METHODS Data were analyzed from 9944 Health and Retirement Study participants Medicare fee‐for‐service beneficiaries, ages 68–99, without Alzheimer's disease related dementias (ADRD) at baseline, 1998–2016. ADRD chronic condition...
Background There is a growing recognition that the provision of surgical services in low-income countries inadequate to need. While constrained health budgets and worker shortages have been blamed for low rates surgery, there has little empirical data on providers surgery cost Africa. This study described range care anesthesia estimated resources dedicated at district hospitals three African countries. Methods Findings We conducted retrospective cross-sectional survey from eight Mozambique,...
In the first of two papers investigating surgical provision in eight district hospitals Saharan African countries, Margaret Kruk and colleagues find low levels care suggesting unmet need for services.
Multimorbidity is associated with greater likelihood of disability, health-related quality life, and mortality, than the risk attributable to individual diseases. The objective this study examine association between unique multimorbidity combinations prospective disability poor self-rated health (SRH) in older adults Europe. We conducted a analysis using data from Survey Health, Ageing Retirement Europe 2013 2015. used hierarchical models compare respondents multiple chronic conditions...
Multimorbidity, also referred to as multiple chronic conditions (MCCs), is the concurrent presence of 2 or more health conditions. Increasing multimorbidity represents a substantial threat aging populations. Recent trends suggest greater risk poor and mortality among later-born cohorts, yet we are unaware work examining cohort differences in U.S. adults.
This research aims to identify distinct courses of depressive symptoms among middle-aged and older Americans ascertain how these vary by race/ethnicity. Data came from the 1995-2006 Health Retirement Study which involved a national sample 17,196 over 50 years age with up six repeated observations. Depressive were measured an abbreviated version Center for Epidemiologic Studies Depression scale. Semiparametric group based mixture models (Proc Traj) used data analysis. Six major trajectories...
This research examines intra- and interpersonal differences in multiple chronic conditions reported by Americans aged 51 older for a period up to 11 years. It focuses on how changes multimorbidity vary across White, Black, Mexican Americans. Data came from 17,517 respondents of the Health Retirement Study (1995–2006) with 5 repeated observations. Hierarchical linear models were employed analyze ethnic variations temporal comorbidities. Middle-aged have average nearly 2 diseases at baseline,...
Multimorbidity (multiple co-occurring chronic conditions) may be an important contributor to disability and poor health-related quality of life. The functional consequences specific combinations somatic mental health conditions are unclear. Nationally representative prospective cohort study using the National Health Aging Trends Study data Medicare beneficiaries. We included 4,017 participants aged 65 years or older interviewed in 2013 2014. primary outcome was activities daily living...
Health-related consequences of multimorbidity (≥2 chronic diseases) are well documented. However, the extent and rate accumulation diseases among US patients seeking care in safety-net clinics not understood. These insights needed to enable clinicians, administrators, policy makers mobilize resources for prevention disease escalations this population.To identify patterns middle-aged older community health centers, as any sociodemographic differences.This cohort study used electronic record...
Objectives. The present study examines gender differences in changes functional status after age 50 and how such vary across different groups.
Objectives.Following a person-centered approach, this research aims to depict distinct courses of disability and ascertain how the probabilities experiencing these trajectories vary across Black, Hispanic, White middle-aged older Americans.
Objective:This research focuses on ethnic variations in the intraindividual changes self-rated health. Method: Data came from Health and Retirement Study involving up to 6 repeated observations between 1995 2006 of a national sample 18,486 Americans above 50 years age. Hierarchical linear models were employed depicting health across White, Black, Hispanic Americans. Results: Subjective worsened over time albeit moderately. Relative younger persons, older individuals rated their poorer with...
Goals for improving the quality of care all Veterans and eliminating health disparities are outlined in Health Administration Blueprint Excellence, but degree to which utilization, outcomes, affect is not well understood.To characterize research on by means a map evidence.We conducted systematic search studies published from 2006 February 2016 MEDLINE other data sources. We included Veteran populations that examined 3 outcome categories: care, patient health.We abstracted study design,...