Executive functioning independently predicts self-rated health and improvement in self-rated health over time among community-dwelling older adults

McHugh, Joanna E.; Lawlor, Brian A.

doi:10.1080/13607863.2015.1018866

Cited by 13 publications

(4 citation statements)

References 47 publications

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“…It appeared that poorest SRH and lowest sense of control among Asian older adults were strongly associated with their frequent experience of negative mood. The relationship between SRH and negative mood such as loneliness and depression was well documented in previous studies (Han & Jylha, 2006;McHugh & Lawlor, 2016). Asian older adults living in community were usually characterized by low English proficiency, proximity of adult children, dependence on adult children, and immigration in later life (Kuo et al, 2008;Mui & Kang, 2006).…”

Section: Discussionmentioning

confidence: 75%

Racial/Ethnic Disparities in Self-Rated Health and Sense of Control for Older Adults Receiving Publicly Funded Home- and Community-Based Services

et al. 2020

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Objectives: This study examines racial/ethnic differences in self-rated health (SRH) and sense of control among older adults receiving publicly funded home- and community-based services (HCBS) and tests the mediating role of functional, emotional, and financial stressors. Methods: Data are from 2015 National Core Indicators—Aging and Disability Survey collected from face-to-face interviews with 1936 older adults aged 65 years or older receiving HCBS in Minnesota. Path analysis based on logistic regression was used. Results: Racial/ethnic minority HCBS users had lower SRH and sense of control than white participants, with Asian participants reporting the lowest scores. Whereas functional impairment was a common explanatory factor for the racial/ethnic differences, negative mood and financial strain were mediators for Asian and Hispanic/Latino participants, respectively. Discussion: Racial/ethnic disparities in well-being exist among older HCBS users, with different mediators at play. Customized services are needed to meet diverse needs of older adults of different racial/ethnic groups.

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Section: Discussionmentioning

confidence: 75%

Racial/Ethnic Disparities in Self-Rated Health and Sense of Control for Older Adults Receiving Publicly Funded Home- and Community-Based Services

et al. 2020

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“…We found that the prevalence of chronic diseases (87%) and multimorbidity (nearly 54%) in local older adults was high; however, more than 31% of older people considered themselves in good health, which was higher than previous studies [ 43 ] and the population without chronic diseases. Subjective health status is often closely related to declining intrinsic and functional capacity [ 20 , 44 ]. Older people tend to consider themselves in good health when the decline in the aforementioned capacity does not exceed their range of adaptation [ 20 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

Geographical accessibility of medical resources, health status, and demand of integrated care for older people: a cross-sectional survey from Western China

Lin,

Guo,

et al. 2024

BMC Geriatr

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Background The World Health Organization (WHO) published the Integrated Care for Older People (ICOPE) framework to help healthcare providers cope with the population aging crisis. However, the relevant evidence on the demands of older people and the compensatory capacity of the environment is limited. This study reports for the first time the level of the ICOPE demand in Western China that includes the impact of geographic accessibility of medical resources (GAMR) on ICOPE demand and the potential mechanism of health status. Methods A cross-sectional questionnaire survey was conducted among 1200 adults aged 60 years and older selected through multi-stage stratified cluster sampling to obtain relevant data, including ICOPE demand, health status, and GAMR. Propensity score matching (PSM) was used to analyze the impact of GAMR on ICOPE demand among older people and those with different health statuses. Results Among the prospective research participants, 1043 were eligible for the study. The mean score of ICOPE demand among all participants was 3.68 (standard deviation [SD] = 0.78). After adjusting for covariates between high and low GAMR groups (1:1 match), ICOPE demand was significantly higher in the low GAMR group than in the high GAMR group (average treatment effect on the treated [ATT] = 0.270, p < 0.05). For both good and poor self-rated health status, the ICOPE demand of the low GAMR group was significantly higher than that in the high GAMR group (ATT = 0.345, p < 0.05; ATT = 0.190, p < 0.05). For chronic diseases, the ICOPE demand of older people with multimorbidity in the low GAMR group was significantly higher than that in the high GAMR group (ATT = 0.318, p < 0.01). Conclusions The older population in Western China has a relatively high demand for ICOPE. Low GAMR is a key factor in ICOPE demand growth in this region. It accelerates demand release for both older people with multimorbidity and self-perceptions of health.

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“…We found that the prevalence of chronic diseases (87%) and multimorbidity (nearly 54%) in local elderly was high; however, more than 31% of the elderly considered themselves in good health, which was higher than previous studies [40] and the population without chronic diseases. Subjective health status is often closely related to declining intrinsic and functional capacity [18,41]. Elderly people tend to consider themselves in good health when the decline in the abovementioned capacity does not exceed their range of adaptation [18,42].…”

Section: Discussionmentioning

confidence: 99%

Geographical accessibility of medical resources, health status, and demand of integrated care for the elderly: a cross-sectional survey from Western China

Lin,

Guo,

et al. 2023

Preprint

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Background WHO calls for the Integrated Care for Older People (ICOPE) system to cope with the population aging crisis. However, the relevant evidence on the demands of older people and the compensatory capacity of the environment is limited. This study aims to clarify the ICOPE demands in Western China and analyze the impact of geographic accessibility of medical resources (GAMR) on ICOPE demands and the potential mechanism of health status. Methods A cross-sectional questionnaire survey was conducted among 1200 people aged 60 years and above selected through multi-stage stratified cluster sampling to obtain relevant data, including ICOPE demands, health status, and GAMR. Propensity score matching was used to analyze the impact of GAMR on ICOPE demand. The Sobel mediation test with a bootstrapping process was used to analyze the mediating effect of self-rated health status on the impact of chronic disease on ICOPE demand in different GAMR groups. Results Of the total participants, 1043 were eligible for the study. The mean score of ICOPE demands among all participants was 3.68 (SD = 0.78). After adjusting for covariates between high and low GAMR groups (1:1 match), ICOPE demand was significantly higher in the low GAMR group than in the high GAMR group (ATT = 0.270, p < 0.05). For both good and poor self-rated health status, the ICOPE demand of the low GAMR group was significantly higher than that in the high GAMR group (ATT = 0.345,p < 0.05; ATT = 0.190, p < 0.05). For chronic diseases, the ICOPE demand of elderly with multimorbidity in the low GAMR group was significantly higher than that in the high GAMR group (ATT = 0.318, p < 0.01). In the low GAMR group, multimorbidity directly affected ICOPE demand independent of self-rated health (β = 0.342, p < 0.001) and indirectly affected ICOPE demand through self-rated health (β = 0.036, p < 0.05). Conclusion The elderly population in Western China has a high demand for ICOPE. Low GAMR is a key factor in ICOPE demand growth in this region. It accelerates demand release for both the elderly with multimorbidity and self-perceptions of healthy and unhealthy, opens the mediation path of the subjective health status between the complications and ICOPE demand, and increases the ICOPE demand gap.

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Executive functioning independently predicts self-rated health and improvement in self-rated health over time among community-dwelling older adults

Cited by 13 publications

References 47 publications

Racial/Ethnic Disparities in Self-Rated Health and Sense of Control for Older Adults Receiving Publicly Funded Home- and Community-Based Services

Racial/Ethnic Disparities in Self-Rated Health and Sense of Control for Older Adults Receiving Publicly Funded Home- and Community-Based Services

Geographical accessibility of medical resources, health status, and demand of integrated care for older people: a cross-sectional survey from Western China

Geographical accessibility of medical resources, health status, and demand of integrated care for the elderly: a cross-sectional survey from Western China

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