The primary objective of this paper is to evaluate the impact Taiwan's National Health Insurance program (NHI), established in 1995, on improving elderly access care and health status. Further, we estimate extent which NHI reduces gaps across income groups. Using data from a longitudinal survey, adopt difference-in-difference methodology causal effect NHI. Our results show that has significantly increased utilization both outpatient inpatient among elderly, such effects were more salient for...

This paper examines the patterns and determinants of four types support provided by adult children to their parents, with particular attention differences in helping behaviors sons daughters. The data come from 1989 wave Survey Health Living Status Elderly Taiwan. analysis is based on 12,166 2,527 families. We find that usually only one child a family provides help activities daily living (ADLs) or instrumental (IADLs), but for financial material responsibility likely be shared among...

Objectives: Eight years of panel data are used to investigate the association between three dimensions religiosity and total disability-free life expectancy (TLE/DFLE) in Taiwan. Method: Data come from 1999 "Taiwan Longitudinal Study on Aging" (TLSA; N = 4,440; Age 55+). Dimensions public, private, belief, coping. Mortality is linked a national database. Disability activities daily living (ADLs). TLE/DFLE estimates use Stochastic Population Analysis for Complex Events (SPACE) software....

Abstract Parkinson’s disease (PD) is characterized by motor and non-motor symptoms, including olfactory dysfunction. Prior studies have shown that olfaction deteriorates with progression, however fluctuations in related PD symptoms been less explored. This study aimed to investigate correlations between changes odor identification ability symptoms. patients recruited from Taichung Veterans General Hospital underwent at least two consecutive Movement Disorder Society Unified Disease Rating...

The social environment and exposure to life challenge affect a person's physical emotional well-being. present research uses population-based study of the elderly in Taiwan elaborate cumulative physiological costs – as reflected biological markers risk factors known have adverse consequences for health unfavourable position hierarchies networks. Overall, among are similar United States. However, male female Taiwanese at lower illness associated with indicators DHEA-S, while women higher...

The Social Environment and Biomarkers of Aging Study (SEBAS) is a nationally representative longitudinal survey Taiwanese middle-aged older adults. It adds the collection biomarkers performance assessments to Taiwan Longitudinal (TLSA), study adults aged 60 over, including institutionalized population. TLSA began in 1989, with follow-ups approximately every 3 years; younger refresher cohorts were added 1996 2003. first wave SEBAS, based on sub-sample respondents from 1999 TLSA, was conducted...

Identifying how biological parameters change with age can provide insights into the physiological determinants of disease and, ultimately, death. Most prior studies age-related in biomarkers are based on cross-sectional data, small or selective samples, a limited number biomarkers. We use data from nationally representative longitudinal sample 639 Taiwanese aged 54 and older 2000 to assess changes over six-year period wide range Markers that increased most were glycoslyated hemoglobin,...

Abstract Diabetes mellitus is a risk factor for Parkinson's disease (PD). While animal studies have supported the benefits of incretin-based therapies, including dipeptidyl peptidase-4 (DPP4) inhibitors, in PD, clinical research has yielded controversial results. This cohort study aimed to assess relationship between PD incidence and utilization DPP4 inhibitor diabetic patients. Using Taiwan's National Health Insurance Research Database from 2009 2018, patients receiving metformin plus at...

Researchers have had a longstanding interest in understanding the determinants of mortality. This article examines impact broad array biological markers, together with self-reports physical and mental health status, on probability dying for older adults. The estimates are derived from logistic regression models based data national survey Taiwan. analysis confirms previous studies demonstrating effects clinical measures related to metabolic syndrome mortality identifies detrimental...

The apolipoprotein E (ApoE) gene, which has three common alleles (ϵ2, ϵ3, and ϵ4), been linked to a number of health outcomes longevity. ϵ2 allele reported have neuroprotective effects, whereas the ϵ4 shown be risk factor for cardiovascular disease Alzheimer's in various populations. relationships between ApoE mortality physical function, however, are not clear-cut. We used Social Environment Biomarkers Aging Study (SEBAS) examine relationship polymorphisms pulmonary function approximately...

Interleukin-6 (IL-6) and C-reactive protein (CRP) are inflammatory makers of potential interest in all-cause cardiovascular death risk prediction, but their additive explanatory value to established factors is not well documented among nonwestern populations.We investigated the IL-6 CRP Framingham score lifestyle predicting mortality a population-representative sample 1023 adults aged 54 years above Taiwan.A total 351 deaths 82 were identified (median follow-up = 11.2 years). After...

Evidence of an association between low socioeconomic position (SEP) and inflammatory markers is scant. This study aimed to examine how life-course SEP predicted C-reactive protein (CRP) interleukin (IL-6) in older age from a national cohort.We collected data 1036 participants the Social Environment Biomarkers Aging Study Taiwan. Four time points, childhood, young adulthood, active professional life, were measured retrospectively. A group-based trajectory analysis method was used identify...

// Yu-Hsuan Lin 1 , Jiun-Chi Huang 2, 3, 4, 6 Pei-Yu Wu 4 Szu-Chia Chen Yi-Wen Chiu Jer-Ming Chang 5, and Hung-Chun School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan 2 Graduate Institute Clinical College 3 Division Nephrology, Department Internal University Hospital, Municipal Hsiao-Kang 5 Cijin Faculty Correspondence to: Chen, email: scarchenone@yahoo.com.tw Keywords: LDL-cholesterol variability; chronic kidney disease; dialysis Received: August 25, 2017 Accepted: November...

Objectives: This study investigated the prevalence and determinants of use dietary supplements non‐prescription medicines by older adults in Taiwan. Methods: Data are from 1999 Survey Health Living Status Elderly The survey involved a national random sample 2360 men 2080 women, 53 years or older. Results: Overall, 32.4% elderly 42.7% women used at least one kind supplement during past 12 months. Approximately 16% 19% multivitamin mineral supplements, 10.5 22% calcium, 10 14% vitamin E,...

Limited research has explored the relationship between valence of olfactory dysfunction and PD clinical symptoms. This study aimed to investigate correlations emotional impairment different domains

Objectives: With a person-centered approach, this research aims to depict distinct courses of functional disability among older Taiwanese and ascertain disparities in the probabilities experiencing these trajectories. Methods: Data was derived from sample 3,975 aged 60 over, initially surveyed 1989 subsequently 1993, 1996, 1999, 2003. Group based, semi-parametric mixture models (Proc Traj) were employed identify trajectories status. Results: Four major identified: (1) excellent health...

The relationship between hyposmia and motor progression is controversial in Parkinson's disease (PD). aim of this study was to investigate whether preserved identification Chinese-validated University Pennsylvania Smell Identification Test (UPSIT) odors could predict PD progression.PD patients with two consecutive clinical visits while taking medication were recruited. Based on mean changes Movement Disorder Society Unified Disease Rating Scale part 3 score levodopa equivalent daily dosage,...