Structural Factors of Elders’ Isolation in a High-Crime Neighborhood: An In-Depth Perspective

Portacolone, Elena

doi:10.1093/ppar/prx025

Cited by 9 publications

(3 citation statements)

References 13 publications

(13 reference statements)

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“…Older Latinos cultural value of familismo may make it harder to be or feel connected if they are away from family social networks 37 . For older persons experiencing poverty, it can be hard to access or prioritize meaningful social connections, or reciprocate social support, when having difficulty meeting housing, food and other basic needs 38 .…”

Section: Discussionmentioning

confidence: 99%

Increasing Social Connectedness for Underserved Older Adults Living With Depression: A Pre-Post Evaluation of PEARLS

Steinman

Parrish

Mayotte

et al. 2021

The American Journal of Geriatric Psychiatry

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HIGHLIGHTS What is the primary question addressed by this study? Can PEARLS, a brief, home-based intervention focused on problem solving treatment and behavioral activation for low-income older adults living with depression, improve social connectedness for underserved older populations? What is the main finding of this study? PEARLS participants significantly improved on all three social connectedness constructs (social interactions and satisfaction with social support; perceived isolation; loneliness) six-months after PEARLS enrollment. Though most improvements persisted during early COVID-19 pandemic, additional supports may be needed for older persons with complex health and social needs. What is the meaning of the finding? PEARLS is a promising intervention for increasing social connectedness among underserved older adults living with depression.

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Section: Discussionmentioning

confidence: 99%

Increasing Social Connectedness for Underserved Older Adults Living With Depression: A Pre-Post Evaluation of PEARLS

Steinman

Parrish

Mayotte

et al. 2021

The American Journal of Geriatric Psychiatry

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“…The null finding on neighborhood correlates with home health care organization density may indicate that providers respond to other unobserved neighborhood factors such as having hospitals or nursing homes nearby, access to human capital resources (Bielefeld & Murdoch, 2004), and neighborhood safety (Portacolone, 2017). We also found that both the social and home care organizations tend to locate near one another, benefiting the community by providing multiple services that can benefit from each other.…”

Section: Discussionmentioning

confidence: 63%

Urban Neighborhood Characteristics and the Spatial Distribution of Home and Community-Based Service Organizations in Michigan Metropolitan Statistical Areas

2021

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Living in a neighborhood with dense HCBS organizations can promote older adults’ health and well-being and may mitigate health disparities generated by living in materially deprived urban neighborhoods. Using 2016 US County Business Patterns and the American Community Survey (2013–2017), focused on 516 ZIP Codes in Michigan Metropolitan Statistical Areas, this study examines the association between neighborhood characteristics and the relative density of businesses offering services for older adults and persons with disabilities (e.g., senior centers, adult day service centers, personal care) and businesses offering home health care. Results from a series of spatial econometric models show that social care organization density tends to be high in neighborhoods with a greater number of residents who have a bachelor’s degree, who are older, and who are in poverty. Home health care density was not explained by neighborhood factors. Multiple neighborhood socio-demographic indicators explain the spatial distribution of social care organizations.

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“…Personal characteristics that include poor health/mobility, poverty, and some personality traits are suggested, but community structures (e.g., high crime areas) are also important. 7 Shen et al 3 set new tasks for progress in dementia prevention. The first is to show where social isolation appears as a primary agent leading to dementia and is not a consequence of cognitive impairment.…”

mentioning

confidence: 99%

The Cognitive Costs of Social Isolation

Whalley

2022

Neurology

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Advances in molecular genetics and neuroimaging now support novel integrative studies of complex behavioral traits and brain disease. 1 These phenomena connect multiple etiologies with common clinical end points of which Alzheimer disease (AD) is probably the best known. Twin studies reliably estimate the effect of environment on AD at approximately 20%, 2 but how to disentangle the genetic and environmental factors in AD remains one of the greatest challenges in clinical neuroscience. The task requires understanding a complex matrix of data that comprises the myriad physical manifestations of neurodegenerative diseases arising in a multidimensional research space and occurring at multiple possible levels of enquiry that includes neurogenetics and neuroimaging and covers neurodevelopment and aging, childhood adversities, occupation, physical and mental health, and more. The potential reward is great: identification of neural pathways underpinning the harmful effects and novel types of intervention to prevent or delay AD. In this issue of Neurology, Shen et al. 3 used UK Biobank data to make a unique contribution to this problem and show how, following a complex integrative analysis of epidemiologic, neuroimaging, and molecular genetic data, social isolation is linked to incident dementia. They added strong evidence of plausible pathways by showing an association between social isolation and reduced gray matter (GM) volumes and underexpressed genes already linked to AD.

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Structural Factors of Elders’ Isolation in a High-Crime Neighborhood: An In-Depth Perspective

Cited by 9 publications

References 13 publications

Increasing Social Connectedness for Underserved Older Adults Living With Depression: A Pre-Post Evaluation of PEARLS

Increasing Social Connectedness for Underserved Older Adults Living With Depression: A Pre-Post Evaluation of PEARLS

Urban Neighborhood Characteristics and the Spatial Distribution of Home and Community-Based Service Organizations in Michigan Metropolitan Statistical Areas

The Cognitive Costs of Social Isolation

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