scholarly journals Health Indicators of US Older Adults Who Received or Did Not Receive Meals Funded by the Older Americans Act

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Edgar R. Vieira ◽  
Joan A. Vaccaro ◽  
Gustavo G. Zarini ◽  
Fatma G. Huffman
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Chronic Diseases ◽  
Mexican Americans ◽  
Functional Limitations ◽  
Health Indicators ◽  
Older Americans ◽  
Nutrition Services ◽  
Older Americans Act ◽  
Using Data

Background. The Older Americans Act (OAA) requires that nutrition programs provide meals and related nutrition services that promote health and help manage chronic diseases. The purpose of this study was to compare health status, food security, functional limitations, and chronic diseases of older adults who received or did not receive OAA meals using data from a representative sample of US adults.Methods. Data were from the National Health and Nutrition Surveys 2011–2014 for 2,392 older adults ≥ 65 years of age, including 187 Mexican Americans, 212 other Hispanics, 521 non-Hispanic Blacks, 219 non-Hispanic Asians, and 1253 non-Hispanic Whites.Results. Those receiving OAA meals had higher percent of food insecurity and functional disabilities. Adjusting for potential confounders, adults who received OAA meals had higher odds of emphysema (OR = 2.02; 1.05, 3.89) and lower odds of good-to-excellent health (OR = 0.52; 0.36, 0.77). Women and minorities had poorer health status compared to non-Hispanic Whites.Conclusion. A higher proportion of older adults who received nutritional services reported poorer health as compared to older adults who do not participate in these services. Future studies should assess nutritional adequacy for older adults who participate in nutritional programs comparing sex and race/ethnicity.

scholarly journals Self-Reported Dental Visits Among Older Adults Receiving Home- and Community-Based Services

2020 ◽  
pp. 073346482092532
Author(s):  
Steffany Chamut ◽  
Shahdokht Boroumand ◽  
Timothy J. Iafolla ◽  
Margo Adesanya ◽  
Elena M. Fazio ◽  
...  
Keyword(s):  
High School ◽  
Older Adults ◽  
Health Knowledge ◽  
Health Indicators ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Older Americans ◽  
Older Americans Act ◽  
Community Based Services

Objective: To investigate factors associated with infrequent dental use among older adults receiving home- and community-based services. Method: This cross-sectional study analyzed responses from the 2014 National Survey of Older Americans Act participants who received home- and community-based services. Descriptive and multivariable analyses were conducted to examine the association between infrequent dental use and key sociodemographic and health indicators. Results: Infrequent dental use was highest among adults participating in case management and home-delivered meals (63%); the lowest among those participating in congregate meals (41%). Participants who did not complete high school were 2 to 5 times more likely to be infrequent dental users compared to those with educational attainment beyond high school. Discussion: Among older adults receiving home- and community-based services, improving oral health knowledge and health literacy may reduce infrequent dental use.

scholarly journals INCREASING VULNERABILITY AMONG OLDER AMERICANS ACT HOME-DELIVERED NUTRITION SERVICE CLIENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S944-S944
Author(s):  
Kristen N Robinson ◽  
Heather L Menne
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Living Arrangements ◽  
Food Stamps ◽  
Demographic Shift ◽  
Poverty Level ◽  
Older Americans ◽  
Nutrition Services ◽  
Older Americans Act ◽  
Nutrition Service

Abstract Older Americans Act (OAA) programs are designed to help frail and vulnerable older adults remain in their homes through the provision of long-term services and supports. Administrative data from the Administration for Community Living (ACL) show that older adults receiving OAA services are three times more likely to live below the poverty level (33.0%) as compared with all older adults (9.2%). In addition, they are almost twice as likely to be living alone (45%) as compared with the general population (28%). Using data from the recently released 2018 National Survey of Older Americans Act Participants, we examine the largest program administered by ACL, the OAA Nutrition Program, to see if the economic vulnerability of home-delivered nutrition service clients has changed over the past 10 years. Results from this study show that recipients of home-delivered nutrition services are more in need of low-cost or free meals in 2018 than they were in 2008 due to a 24% increase in Medicaid eligibility, 41% increase in those who report not having enough money or food stamps to buy food, and 101% increase in those who report receiving food stamps. This increase in economic need may be due to a demographic shift in the marital status and living arrangements of older adults, specifically the 75-84 age group. The increase in the percentage of older adults who are divorced, live alone, and have low income has made the home-delivered nutrition services program even more important today than it was a decade ago.

scholarly journals Childlessness, Individual Socioeconomic Resources, and Health: Exploring Variation in 20 Countries

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 515-516
Author(s):  
Nekehia Quashie ◽  
Christine Mair ◽  
Radoslaw Antczak ◽  
Bruno Arpino
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Health Indicators ◽  
Data Repository ◽  
Middle Income ◽  
Individual Level ◽  
Socioeconomic Resources ◽  
Middle Income Countries ◽  
Using Data ◽  
The Impact

Abstract Childless older adults may be at risk for poorer health cross-nationally, yet most studies on this topic analyze only a small number of countries and only 1 or 2 health outcomes. To our knowledge, two papers exist that explore associations between childlessness and multiple indicators of health using data from a large number of regionally diverse countries (e.g., 20 countries from North America, Asia, and Europe), but neither study includes an examination of socioeconomic resources. The level of health risk faced by childless older adults is likely to be distinctly shaped by older adults’ socioeconomic resources (e.g., education, income, wealth). Associations between childlessness, socioeconomic resources, and health may also differ by country context. Using harmonized, cross-national data for adults aged 50 and older across 20 high- and middle-income countries (United States (HRS), European Union (SHARE), Mexico (MHAS), and China (CHARLS) from the Gateway to Global Aging data repository), we explore if and how individual-level socioeconomic resources (income, education, wealth) moderate associations between childlessness and five health indicators (self-rated health, ADL limitations, IADL limitations, chronic conditions, and depression). Results suggest that associations between childlessness and health outcomes vary by individual socioeconomic resources in some country contexts, but not in others. We discuss these findings in light of the impact of individual-level socioeconomic resources on older adults’ support options and health outcomes cross-nationally.

scholarly journals FEDERAL NUTRITION POLICIES AND PROGRAMS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S67-S67
Author(s):  
Robert Blancato
Keyword(s):  
Older Adult ◽  
Department Of Agriculture ◽  
Term Care ◽  
Older Americans ◽  
Care Services ◽  
Nutrition Services ◽  
Nutrition Programs ◽  
Older Americans Act ◽  
Services And Supports ◽  
Policies And Programs

Abstract This paper will discuss the Older Americans Act nutrition programs and their reauthorization progress, older adult programs under the US Department of Agriculture, and advances in nutrition services being made in healthcare programs such as Medicare Advantage and managed long-term care services and supports. It will also discuss funding for federal older adult nutrition programs and their sustainability moving forward.

scholarly journals POLICY SERIES: POLICY UPDATE: OLDER ADULT NUTRITION AND MALNUTRITION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S67-S67
Author(s):  
Meredith Whitmire ◽  
Robert Blancato
Keyword(s):  
Older Adult ◽  
Department Of Agriculture ◽  
Term Care ◽  
Older Americans ◽  
Care Services ◽  
Nutrition Services ◽  
Nutrition Programs ◽  
Older Americans Act ◽  
The Us ◽  
Services And Supports

Abstract This symposium will provide an update on older adult nutrition policy, including background on the issues of older adult malnutrition and food insecurity. The federal policy update will include discussion of the Older Americans Act nutrition programs and their reauthorization progress, older adult programs under the US Department of Agriculture, and advances in nutrition services being made in healthcare programs such as Medicare Advantage and managed long-term care services and supports. It will also discuss funding for federal older adult nutrition programs and their sustainability moving forward.

scholarly journals Health Behaviors and Health Status among Middle-Aged and Older Adults with Chronic Diseases in Taiwan

2020 ◽  
Vol 17 (19) ◽  
pp. 7196
Author(s):  
Wei-Hua Tian ◽  
Joseph J. Tien
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Health Behavior ◽  
Health Behaviors ◽  
Chronic Diseases ◽  
Latent Class ◽  
Healthy Diet ◽  
Lifestyle Behaviors ◽  
Middle Aged ◽  
The Relationship

Changes in lifestyle behaviors may effectively maintain or improve the health status of individuals with chronic diseases. However, such health behaviors adopted by individuals are unlikely to demonstrate similar patterns. This study analyzed the relationship between the heterogeneous latent classes of health behavior and health statuses among middle-aged and older adults with hypertension, diabetes, or hyperlipidemia in Taiwan. After selecting 2103 individuals from the 2005 and 2009 Taiwan National Health Interview Survey (NHIS), we first identified heterogeneous groups of health behaviors through latent class analysis (LCA). We further explored the relationship between each latent class of health behavior and health status through ordered logit regression. We identified the following five distinct health behavior classes: the all-controlled, exercise and relaxation, healthy diet and reduced smoking or drinking, healthy diet, and least-controlled classes. Regression results indicated that individuals in classes other than the all-controlled class all reported poor health statuses. We also found great magnitude of the coefficient estimates for individuals who reported their health status to be poor or very poor for the least-controlled class. Therefore, health authorities and medical providers may develop targeted policies and interventions that address multiple modifiable health behaviors in each distinct latent class of health behavior.

scholarly journals The Older Americans Act, the Aging Network, and the Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 300-301
Author(s):  
Brian Lindberg
Keyword(s):  
Older Adults ◽  
Older Americans ◽  
Older Americans Act ◽  
Aging Services ◽  
The Future ◽  
Aging Network

Abstract This session provides insights into how the pandemic challenged the capabilities and ingenuity of the Older Americans Act (OAA) programs and the aging network and what it means for in-home and community aging services now and in the future. Speakers will include key aging network stakeholders, who will discuss the overnight evolution of programs serving often isolated older adults.

scholarly journals Otago Exercise Program (OEP): A Golden Technique on Health Status and Risk of Falls among Older Adults with Chronic Diseases

2021 ◽  
Vol 12 (1) ◽  
pp. 84-104
Author(s):  
Eman Mohamed Ebrahim Abd-Elraziek ◽  
Samar Ahmed Mahmoud ◽  
Shimaa Hassan Abd El-Fatah
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Chronic Diseases ◽  
Exercise Program ◽  
Risk Of Falls

scholarly journals Latent Growth Model of Predictors of Health Status in Korean Older Adults

2020 ◽  
Vol 44 (3) ◽  
pp. 364-374
Author(s):  
Ki Sook Ko ◽  
Hee Yun Lee ◽  
Cho Rong Won
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Chronic Diseases ◽  
Caregiver Burden ◽  
Healthcare Cost ◽  
Growth Model ◽  
Alcohol Problem ◽  
Cost Burden ◽  
Latent Growth Model ◽  
Latent Growth

Objectives: In this study, we investigated the health status trajectory of Korean older adults with chronic diseases and its relationship with relevant ecological level factors. Methods: We analyzed data from the 2013 to 2015 Korea Health Panel Survey using the latent growth model. Results: Results showed that Korean older adults' health status decreased over time. Relevant ecological level factors affecting older adults' health status directly or indirectly included alcohol problems, caregiver burden, and healthcare cost burdens. The higher the initial health status was found to be, the higher the initial alcohol problem and initial caregiver burden. The higher the initial caregiver burden was found to be, the higher the initial alcohol problem and initial healthcare cost burden. Conclusions: To improve the health status of older adults with chronic diseases, interventions and health policies to reduce alcohol problem, caregiver burden, and healthcare cost burden should be developed and implemented.

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