04 May 2010 ~ Comments Off on Preferences for prolonging life: a prospect theory approach

Preferences for prolonging life: a prospect theory approach

Kahneman and Tversky’s (1979) Prospect theory was tested as a model of preferences for prolonging life under various hypothetical health statuses. A sample of 384 elderly people living in congregate housing (263 healthy, 131 frail) indicated how long (if at all) they would want to live under each of nine hypothetical health conditions (e.g., limited […]

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04 May 2010 ~ Comments Off on African-American and white patients admitted to the intensive care unit: is there a difference in therapy and outcome?

African-American and white patients admitted to the intensive care unit: is there a difference in therapy and outcome?

OBJECTIVE: To evaluate variations in patient characteristics, hospital mortality, intensive care unit (ICU) length of stay, and treatment among African-American and white patients admitted to the ICU. DESIGN: Prospective, inception cohort study. SETTING: Forty-two ICUs at 40 U.S. hospitals, including 26 hospitals that were randomly selected and 14 volunteer institutions, primarily large university or tertiary […]

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04 May 2010 ~ Comments Off on Racial patterns in disabled elderly persons’ use of medical services

Racial patterns in disabled elderly persons’ use of medical services

OBJECTIVE: This study examines the extent that older persons experience patterns of health service use that vary by race. METHODS: Using the 1989 NLTCS database, researchers estimate ten binomial logistic regressions of community medical service use by disabled White and Black older persons. Chow tests and Oaxaca decomposition analysis inform why racial differences continue to […]

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04 May 2010 ~ Comments Off on Differences in amount of informal care received by non-Hispanic whites and latinos in a nationally representative sample of older Americans

Differences in amount of informal care received by non-Hispanic whites and latinos in a nationally representative sample of older Americans

The objective of this study was to evaluate informal (unpaid) care and its broad determinants for Latinos in a nationally representative sample. A cross-sectional analysis of the 1993 Asset and Health Dynamics Study, a national probability sample of 7,443 older adults aged 70 and older, was performed to determine the independent effect of Latino ethnicity […]

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04 May 2010 ~ Comments Off on The health and functional status of US veterans aged 65+: implications for VA health programs serving an elderly, diverse veteran population

The health and functional status of US veterans aged 65+: implications for VA health programs serving an elderly, diverse veteran population

As the US population is aging, so too is the US veteran population. Chief among the challenges facing the Department of Veterans Affairs (VA) is developing health programs and services that mesh with the needs of an aging veteran population and therefore improve the health status of elderly veterans. Meeting this challenge requires an understanding […]

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04 May 2010 ~ Comments Off on Differences between African Americans and whites in the outcome of heart failure: Evidence for a greater functional decline in African Americans

Differences between African Americans and whites in the outcome of heart failure: Evidence for a greater functional decline in African Americans

BACKGROUND: National statistics indicate that African Americans are disproportionately affected by mortality and hospitalizations resulting from heart failure when compared with other racial/ethnic groups. This might, in part, reflect a poorer course of heart failure among African Americans. METHODS: We conducted a prospective cohort study of 316 white and 82 African American consecutive patients aged […]

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04 May 2010 ~ Comments Off on Health status of Gypsy Travellers

Health status of Gypsy Travellers

BACKGROUND: Although previous studies suggest that Gypsy Travellers have poorer health status and excess mortality compared with the general population, there is no epidemiological evidence using validated measures in this nomadic ethnic group. The aim of this study was to compare the health status of traditional Gypsy Travellers with norms from the UK population, and […]

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04 May 2010 ~ Comments Off on Self-reported prevalence and health correlates of functional limitation among Massachusetts elderly Puerto Ricans, Dominicans, and non-Hispanic white neighborhood comparison group

Self-reported prevalence and health correlates of functional limitation among Massachusetts elderly Puerto Ricans, Dominicans, and non-Hispanic white neighborhood comparison group

BACKGROUND: Limited data suggest that Puerto Ricans experience greater disability than other ethnic groups, but few studies have examined the factors associated with this apparent difference. METHODS: We describe the prevalence of functional limitation and disability in a representative sample of Puerto Rican and Dominican elders in Massachusetts, and in a neighborhood comparison group of […]

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04 May 2010 ~ Comments Off on Perceptions of health and their relationship to symptoms in African American women with type 2 diabetes

Perceptions of health and their relationship to symptoms in African American women with type 2 diabetes

Diabetes mellitus is an incurable disease and a major cause of mortality and morbidity. Diabetes disproportionately affects members of minorities who suffer from higher rates of complications and greater disability (Cowie & Eberhardt, 1996). The purpose of this study was to (a) describe the symptoms of African American women with Type 2 diabetes and examine […]

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04 May 2010 ~ Comments Off on Higher instrumental activities of daily living disability in Hispanics compared with non-Hispanic whites in rural Colorado. The San Luis Valley Health and Aging Study

Higher instrumental activities of daily living disability in Hispanics compared with non-Hispanic whites in rural Colorado. The San Luis Valley Health and Aging Study

This study examined Hispanic versus non-Hispanic white patterns of needing assistance with instrumental activities of daily living (IADL). The authors interviewed 798 Hispanic and 614 non-Hispanic white residents of rural Colorado, who were aged 60 years and older between 1993 and 1995. Seventy-five participants were nursing home residents at the time of the interview. Community-dwelling […]

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