- Demographic Trends and Gender Preferences
- Palliative Care and End-of-Life Issues
- Global Maternal and Child Health
- Birth, Development, and Health
- Geriatric Care and Nursing Homes
- Grief, Bereavement, and Mental Health
- Intergenerational Family Dynamics and Caregiving
- Health disparities and outcomes
- Pharmaceutical Practices and Patient Outcomes
- Evolutionary Psychology and Human Behavior
- Family Dynamics and Relationships
- Dementia and Cognitive Impairment Research
- Global Health Care Issues
- Health Systems, Economic Evaluations, Quality of Life
- Treatment of Major Depression
University of Utah
2021-2024
Gardner–Webb University
2024
Mount Wachusett Community College
2024
Families play a critical role in end-of-life (EOL) care for nursing home (NH) residents with dementia. Despite the important of family, little is known about availability and characteristics families persons dementia who die NHs.
Abstract INTRODUCTION End‐of‐life (EOL) caregiving is associated with stress and burden, especially for persons dementia. Little known, however, about how dementia diagnosis, family structure, co‐residence influence the prevalence of antidepressants anxiolytics (psychiatric prescriptions) among spouses adult children during EOL caregiving. METHODS This was a retrospective cohort study ( n = 82,321) 367,888) linked to decedents 35,482) without 121,548) between 1998 2016. Multivariable...
The male/female sex ratio (SR) and its age-specific patterns vary considerably across time place. SR generally begins male-biased at birth becomes female-biased later in life, but this relationship should respond to historical trends events. Temporal SRs remain largely unstudied formal demographic relationships are not well defined. We (1) define a life table framework, (2) estimate the age which number of males females achieves parity—the crossover (SRX)—using basic methods, (3) explore...
While sex ratios at birth (SRB) have been shown to vary within and across populations, after over a century of research, explanations remained elusive. A variety ecological, demographic, economic, social variables evaluated, yet their association with SRB has equivocal. Here, in an attempt shed light on this unresolved topic the literature, we approach question what drives variation using detailed longitudinal data spanning frontier-era early 20th population from US state Utah. Using several...
<h3>Outcomes</h3> 1. Explain how hospice experiences might have implications for the surviving family's health. 2. gender and other contexts can modify experience. <h3>Key Message</h3> Hospice increase mortality risk family. Longer stays being only nearby family member are factors, depending upon relationship type. Having more members is protective against survivors' risk, but dementia in particularly risky a widow's <h3>Importance</h3> has not patient their This research help identify...
AbstractTo better understand determinants and potential disparities in end of life, we model decedents' place death with explanatory variables describing familial, social, economic resources. A retrospective cohort 204,041 decedents their family members are drawn from the Utah Population Database caregiving dataset. Using multinomial regression, death, categorized as at home, a hospital, another location, or unknown. The includes relationship variables, sex, race ethnicity, socioeconomic...
Abstract Nursing home (NH) EOL disparities are an increasingly important focus for policymakers. Despite the critical role of families in resident care, no studies to date have explored how family size and characteristics impact care utilization urban vs rural NH residents. This study describes first-degree (FDF) Utah residents who died rural/frontier (n=10,440) vs. (n=32,366) NHs between 1998-2016. Using Caregiving Population Study (Utah C-PopS), we linked decedents their FDF (urban...
Abstract U.S. policy and clinical practice increasingly recognize the value essential role that family caregivers play in planning delivering long-term care, especially context of dementia where cognitive decline leads to practical legal needs rely on others (most often family) serve as surrogate decision makers. Given preference older adults age-in-place younger generations commonly move away from rural areas, access support may characteristically differ across those living urban versus...
While sex ratios at birth (SRB) have been shown to vary within and across populations, after over a century of research, explanations remained elusive. A variety ecological, demographic, economic, social variables evaluated, yet their association with SRB has equivocal. Here, in an attempt shed light on this unresolved topic the literature, we approach question what drives variation using detailed longitudinal data spanning frontier-era early 20th US population. Using several measures...
While sex ratios at birth (SRB) have been shown to vary within and across populations, after over a century of research, explanations remained elusive. A variety ecological, demographic, economic, social variables evaluated, yet their association with SRB has equivocal. Here, in an attempt shed light on this unresolved topic the literature, we approach question what drives variation using detailed longitudinal data spanning frontier-era early 20th US population. Using several measures...