The 2030 Problem: Caring for Aging Baby Boomers

Knickman, James R.; Snell, Emily K.

doi:10.1034/j.1600-0560.2002.56.x

Cited by 382 publications

(292 citation statements)

References 59 publications

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“…1,2 Although the baby boomers have a longer life expectancy than the previous cohort, the silent generation (born 1925 to 1945), baby boomers will have higher rates of chronic conditions such as diabetes, hypertension, and cancer than their predecessors. [3][4][5][6][7] The increasing proportion of older adults with comorbidities requires innovative strategies to help individuals cope with and prevent aging-related functional decline. One area of health care that more people are turning to is complementary and alternative medicine (CAM), a group of modalities, practices, and products that either supplement or substitute con-ventional medicine.…”

mentioning

confidence: 99%

Generational Differences in Complementary and Alternative Medicine (CAM) Use in the Context of Chronic Diseases and Pain: Baby Boomers versus the Silent Generation

Rowland-Seymour

Frankel

et al. 2014

The Journal of the American Board of Family Medicine

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Methods: This study compares CAM usage between baby boomers (n ‫؍‬ 7734) and the silent generation (n ‫؍‬ 4682) through secondary analyses of the 2007 National Health Interview Survey data. The analysis also compares chronic disease and pain status. Multivariate logistic regression models were developed to identify generational differences.Results: Although the silent generation reported twice as many chronic disease (51.3% vs 26.1%; P < .001) and more painful conditions (56.1% vs 52.2%; P < .001), baby boomers were more likely to use CAM within the past year (43.1% vs 35.4%; P < .001). Adjusting for covariates, baby boomers with heart disease, cancer, and diabetes were more likely to use CAM than adults from the silent generation. Chronic pain status was independently associated with greater CAM use (adjusted odds ratio, 2.26; 95% confidence interval, 2.03-2.52).Conclusions: Baby boomers reported significantly higher rates of CAM use than the silent generation for both chronic diseases and painful conditions. Family physicians caring for the aging population must use patient-centered communication about the risks/benefits of CAM, which is necessary to promote effective coping with chronic illnesses and pain. (J Am Board Fam Med 2014;27:465-473.)

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confidence: 99%

Generational Differences in Complementary and Alternative Medicine (CAM) Use in the Context of Chronic Diseases and Pain: Baby Boomers versus the Silent Generation

Rowland-Seymour

Frankel

et al. 2014

The Journal of the American Board of Family Medicine

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“…29 This is partly because the costs of nursing home care tend to be borne more by individuals in the USA (39% in 2004) 30 compared with other industrialized countries.…”

Section: Future Issuesmentioning

confidence: 99%

Nursing home care in the USA

Eskildsen

2009

Geriatrics Gerontology Int

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Nursing home care in the USA is part of the costliest health‐care system in the world, and is a heavily regulated industry still struggling to maintain quality care across the country. The modern nursing home dates back to the 1930s and the passage of the Social Security Act, with continued growth of the industry after the 1960s, when the Medicare and Medicaid programs were created. As in other industrialized countries, the elderly population in the USA is growing, and the highest growth is occurring among those older than 85. This is the group with the highest health‐care costs and rates of nursing home utilization. There are two major types of care provided in US nursing homes: long‐term and subacute care. In the 1980s, quality of care became an important concern, which led to major reform and passage of new regulations under the law known as OBRA‐87. During this time, the Minimum Data Set (MDS), which is a comprehensive assessment tool, was introduced. It continues to be a vital tool for both payment and research. Reform also ushered in the state survey process, which scrutinizes nursing homes yearly and assesses financial penalties for substandard care. The aging of the American population will provide challenges for financing nursing home care in the future. The use of private long‐term care insurance is growing, and may be an important source of payment for this type of care in the decades to come.

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“…Therefore, we must seek ways to address senior citizens' decline in physical functioning and ability to earn an income, along with the related psychological difficulties that they often develop. There has been a growing focus on helping baby boomers to age successfully (Knickman & Snell, 2002). The main factors affecting seniors' quality of life have been classified in physical, economic, and interpersonal relationships categories in previous studies (Diener & Suh, 1997;Nijs, de Graaf, Kok, & van Staveren, 2006).…”

Section: Introductionmentioning

confidence: 99%

Untitled

2017

JPES

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Abstract:The purpose of this study was to investigate the sustainability of seniors' exercise behavior by applying the theory of planned behavior (TPB). More specifically, preliminary knowledge was incorporated in the TPB to better comprehend seniors' exercise behavior and provide practical implications regarding how to encourage older adults to participate in exercise consistently. Convenience sampling was employed to collect data from participants aged 65 and over (N = 229). The results showed that attitude, subjective norms, and perceived behavioral control had positive influence on seniors' exercise intention, which in turn positively affected their exercise behavior. Moreover, perceived behavioral control and exercise intention both positively predicted exercise behavior. Finally, preliminary knowledge had a positive influence on seniors' attitude but no direct effect on their exercise intention. The results imply that educational activities and training support designed to improve older adults' attitude toward exercise could contribute to their health and quality of life. Key words: extended theory of planned behavior, preliminary knowledge, senior exercise.

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The 2030 Problem: Caring for Aging Baby Boomers

Cited by 382 publications

References 59 publications

Generational Differences in Complementary and Alternative Medicine (CAM) Use in the Context of Chronic Diseases and Pain: Baby Boomers versus the Silent Generation

Generational Differences in Complementary and Alternative Medicine (CAM) Use in the Context of Chronic Diseases and Pain: Baby Boomers versus the Silent Generation

Nursing home care in the USA

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