A5014084818- Health disparities and outcomes
- Dementia and Cognitive Impairment Research
- Retirement, Disability, and Employment
- Intergenerational Family Dynamics and Caregiving
- Cognitive Abilities and Testing
- Suicide and Self-Harm Studies
- Frailty in Older Adults
- Intergenerational and Educational Inequality Studies
- Employment and Welfare Studies
- Mental Health Treatment and Access
- Healthcare Policy and Management
- Substance Abuse Treatment and Outcomes
- Technology Use by Older Adults
- Global Health Care Issues
- Maternal Mental Health During Pregnancy and Postpartum
- Geriatric Care and Nursing Homes
- Homelessness and Social Issues
- Health Systems, Economic Evaluations, Quality of Life
- Psychosomatic Disorders and Their Treatments
- Emergency and Acute Care Studies
- Healthcare cost, quality, practices
- Financial Literacy, Pension, Retirement Analysis
- Medication Adherence and Compliance
- Healthcare Systems and Public Health
- Sleep and related disorders
University of Michigan
2013-2023
Michigan United
2013-2023
VA Center for Clinical Management Research
2013-2016
VA Ann Arbor Healthcare System
2012-2016
Institute for Social Research
2013
Nationally representative data are critical for understanding the causes, costs, and outcomes associated with dementia mild cognitive impairment (MCI) in US can inform policies aimed at reducing impact of these conditions on patients, families, public programs. The nationally Health Retirement Study (HRS) is an essential resource such data, but HRS substudy providing diagnostic information was fielded more than 20 years ago recent needed. Harmonized Cognitive Assessment Protocol (HCAP)...
Estimates of incident dementia, and cognitive impairment, not dementia (CIND) (or the related mild impairment) are important for public health clinical care policy. In this paper, we report US national incidence rates CIND.Participants in Aging, Demographic, Memory Study (ADAMS) were evaluated impairment using a comprehensive in-home assessment. A total 456 individuals aged 72 years older, who demented at baseline, followed longitudinally from August 2001 to December 2009. An expert...
Older adults have increasingly adopted Internet and social network sites (SNSs), but little communication scholarship has explored systematic differences in access within this population. Using a nationally representative sample of Americans over the age 50 years from 2012 Health Retirement Study, we examine (N = 18,851) SNS adoption patterns 869) among explore how these vary by age. Regarding access, results suggest that while gender divide reversed favor women, older who are economically,...
Prevalence of cirrhosis among older adults is expected to increase; therefore, we studied the health status, functional disability, and need for supportive care in a large national sample individuals with cirrhosis. A prospective cohort was identified within longitudinal, nationally representative Health Retirement Study. Cirrhosis cases were linked Medicare data via ICD–9–CM (International Classification Diseases, Ninth Revision, Clinical Modification) codes compared an age–matched without...
Abstract Background Detection of “any cognitive impairment” is mandated as part the Medicare annual wellness visit, but screening all patients may result in excessive false positives. Methods We developed and validated a brief Dementia Screening Indicator using data from four large, ongoing cohort studies (the Cardiovascular Health Study [CHS]; Framingham Heart [FHS]; Retirement [HRS]; Sacramento Area Latino on Aging [SALSA]) to help clinicians identify subgroup high‐risk target for...
<b><i>Introduction:</i></b> The Harmonized Cognitive Assessment Protocol (HCAP) Project is a substudy within the Health and Retirement Study (HRS), an ongoing nationally representative panel study of about 20,000 adults aged 51 or older in United States. HCAP part international research collaboration funded by National Institute on Aging to better measure identify cognitive impairment dementia population-based samples adults, context longitudinal studies aging high-,...
ABSTRACT An increasing number of middle-aged and older Americans are using social network sites (SNSs), but little research has addressed how SNS use is associated with wellbeing outcomes in this population. Using a nationally representative sample 1,620 than 50 from the 2012 Health Retirement Study (HRS), we examine relationship between adults’ non-kin kin relations explore these associations vary by age. Results ordinary least-squares regression analyses suggest that positively...
Objective: Prior research supports the effectiveness of brief interventions for reducing alcohol misuse among patients in emergency department (ED). However, limited information is available regarding mechanisms change, which could assist clinicians streamlining or amplifying these interventions. This article examines moderators outcomes ED patients, ages 19 and older, who participated a randomized controlled trial intervention misuse. Method: Injured (N= 4,476) completed computerized...
In this article, we reexamine the concept of generation as it has been used in social and behavioral sciences its utility for present-day research on human development. This is accomplished via an investigation concept's historical roots classical writings subject. Three distinct concepts are uncovered—(a) generations positions family lineages, (b) birth cohorts (or locations), (c) participation—and all were found to be useful. Our discussion goes beyond clarifying distinctions among these 3...
This study examined the association between mental disorders, prior suicidality, and access to guns gun safety in U.S. population.Using data from adult participants (N=5,692) National Comorbidity Survey: Replication (NCS-R), this relationships past practices.Individuals with lifetime disorders (N=3,528) were as likely those without (N=2,034) have a (34.1% versus 36.3%; odds ratio [OR]=.9, 95% confidence interval [CI]=.8-1.1), carry (4.8% 5.0%; OR=1.0, CI=.7-1.40), or store an unsafe manner...
Sedative-hypnotics have been associated with suicide attempts and completed suicides in a number of toxicologic, epidemiologic, clinical studies. Most studies, however, inadequately address confounding by insomnia, which not only is component many mental health disorders that increase suicidal risk, but also independently suicidality. Moreover, the association nonbenzodiazepine benzodiazepine receptor agonists (NBRAs) suicidality has specifically studied US general population.The purpose...
The Harmonized Cognitive Assessment Protocol (HCAP) describes an assessment battery and a family of population-representative studies measuring neuropsychological performance. We describe the factorial structure HCAP in US Health Retirement Study (HRS). was compiled from existing measures by cross-disciplinary international panel researchers. used 2016 wave HRS. factor analysis methods to assess refine theoretically driven single multiple domain for tests included among 3,347 participants...
Age-related differences in cognitive abilities observed cross-sectional samples of individuals varying age may part be spurious due to the effects cohort schooling and related factors. This study examined aging on function controlling for any all cohort-based social experiences different groups.We age-related patterns a measure verbal ability using 14 repeated surveys from General Social Survey (GSS) over 24-year period.The raw GSS data show expected growth decline vocabulary knowledge, but...
To evaluate longitudinal patient-oriented outcomes in peripheral neuropathy over a 14-year time period including before and after diagnosis.The 1996-2007 Health Retirement Study (HRS)-Medicare Claims linked database identified incident cases (ICD-9 codes) patients ≥65 years. Using detailed demographic information from the HRS Medicare claims, propensity score method matched control group without neuropathy. Patient-oriented outcomes, with an emphasis on self-reported falls, pain, self-rated...
To measure the association between spousal depression, general health, fatigue and sleep, future care recipient healthcare expenditures emergency department (ED) use.Prospective cohort study.Health Retirement Study.Home-dwelling dyads in which one individual (care recipient) was aged 65 older had or more activity of daily living instrumental disabilities enrolled Medicare Part B (N = 3,101).Caregiver sleep (Jenkins Sleep Scale), depressive symptoms (Center for Epidemiologic Studies...
Aims: This study examines whether the severity of baseline alcohol consumption/consequences moderates effect an brief intervention (BI) in emergency department (ED). Methods: Injured patients (N = 494) were recruited from ED, randomly assigned to receive advice or not and completed a 12-month follow-up interview. Results: A significant interaction was found between consumption (i.e. average weekly, binge drinking) receipt BI on at 12 months. The form this indicates that group tended report...
Objectives. We focus on a hypothesized mechanism that may underlie the well-documented link between social status and health–behavioral health risks. Methods. use longitudinal data from representative samples of 6,106 middle-aged 3,636 older adults Health Retirement Study to examine relationships status—including early life (e.g., parental schooling), ascribed sex, race–ethnicity), achieved schooling, economic resources)—and behavioral risks weight, smoking, drinking, physical activity) (1)...