scholarly journals Why Are Native Hawaiians Underrepresented in Hawai‘i's Older Adult Population? Exploring Social and Behavioral Factors of Longevity

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Lana Sue Ka‘opua ◽  
Kathryn L. Braun ◽  
Colette V. Browne ◽  
Noreen Mokuau ◽  
Chai-Bin Park

Native Hawaiians comprise 24.3% of Hawai‘i's population, but only 12.6% of the state's older adults. Few published studies have compared health indicators across ethnicities for the state's older adult population or focused on disparities of Native Hawaiian elders. The current study examines data from two state surveillance programs, with attention to cause of death and social-behavioral factors relevant to elders. Findings reveal that Native Hawaiians have the largest years of productive life lost and the lowest life expectancy, when compared to the state's other major ethnic groups. Heart disease and cancer are leading causes of premature mortality. Native Hawaiian elders are more likely to report behavioral health risks such as smoking and obesity, live within/below 100–199% of the poverty level, and find cost a barrier to seeking care. Indicated is the need for affordable care across the lifespan and health services continuum. Future research might explain behavioral factors as influenced by social determinants, including historical trauma on Native Hawaiian longevity.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 403-404
Author(s):  
Yeonjung (Jane) Lee ◽  
Tyran Terada

Abstract The Native Hawaiian and Other Pacific Islander (NHOPI) older adult population remains understudied and are disproportionately affected by diabetes and heart conditions. Research has shown that participating in physical activity is a protective factor for many of the health conditions experienced by older adults. Yet, the link between physical activity, diabetes, and heart conditions among the NHOPI older adult population is limited. The purpose of this study is to identify the characteristics of NHOPI older adults and to explore the association between physical activity levels and diabetes/heart conditions. Methods and findings Using data from the 2014 Native Hawaiian and Pacific Islander National Health Interview Survey (NHPI NHIS), which is considered to have a representative sample of NHOPI, the study explores the associations between physical activity and diabetes/heart conditions. A total of 1,045 older adults ages 50 years and older were included for analyses. Weighted multivariate analyses with multiple imputation techniques were used. The NHPI NHIS is the first federal survey focusing on the NHOPI population of the United States with rich information on health. Results and Implications Those with who were engaged in a sufficient physical activity had lower odds of having diabetes or heart conditions than their counterparts without physical activity while controlling for other sociodemographic characteristics. Findings highlight the importance of physical activity promotion intervention in preventing cardiovascular disease. Research and practice addressing health disparities and cardiovascular conditions should leverage efforts to provide culturally relevant physical activity types and resources to NHOPI older adults.


2021 ◽  
Author(s):  
Nicola Cogan ◽  
Allyson J. Gallant ◽  
Louise A. Brown Nicholls ◽  
Susan Rasmussen ◽  
David Young ◽  
...  

ABSTRACTOlder adults are particularly vulnerable to vaccine-preventable diseases (VDU), due to decreased immunity and increased comorbidity. Vaccination can support healthy ageing and help reduce morbidity, mortality, and loss of quality of life associated with VPDs. Despite the availability of effective vaccines, many countries, including the UK, fail to reach recommended coverage levels. Psychosocial factors are recognised as providing important insights into the determinants of vaccination uptake. Little research has sought to establish psychometrically sound scales of vaccine attitudes with older adults. In the present study, a total of 372 UK-based participants (65-92 years, M = 70.5 yrs, SD = 4.6) completed a cross-sectional, online survey measuring health and socio-demographic characteristics in relation to vaccination uptake for influenza, pneumococcal and shingles. Two recently developed vaccination attitude scales, the 5C scale and the Vaccination Attitudes Examination (VAX) scale, were also administered to test their reliability and validity for use with an older adult population. Additional scales used to examine convergent and discriminant validity, the Beliefs about Medicines Questionnaire, the Perceived Sensitivity to Medicines Scale, the Medical Mistrust Index, the Perceived Stress Scale, and the Interpersonal Support Evaluation List, were included. The factor structure of the 5C and VAX scales was confirmed. Both scales showed good internal reliability, convergent, discriminant and concurrent validity, supporting their use with older adult populations. The 5C and VAX scales were found to be reliable and valid psychosocial measures of vaccine hesitancy and acceptance within a UK-based, older adult population. Future research could use these scales to evaluate the impact of psychological antecedents of vaccine uptake, and how concerns about vaccination may be understood and addressed among older adults.Ethics approval & informed consentEthical approval (34/26/11/2019/Staff Williams) was granted by the School of Psychological Sciences and Health Ethics Committee, University of Strathclyde. (SEC19/20: Williams, Nicholls, Rasmussen, Young & Gallant). Approved on 8th January 2020.


1991 ◽  
Vol 19 (2) ◽  
pp. 120-124 ◽  
Author(s):  
David Locker ◽  
Andree Liddell ◽  
David Burman

2020 ◽  
pp. 25-31
Author(s):  
Alma Janeth Moreno-Aguirre ◽  
Eliseo Guajardo-Ramos ◽  
María Araceli Ortiz-Rodríguez ◽  
Ulises Delgado-Sánchez

Objective. Analyze the process of educational and labor inclusion of the elderly in higher education of the UAEM. Methodology. An analysis of the process of educational and labor inclusion in the older adult population who are workers and students of the UAEM was carried out. The needs they present, the conditions in which they are found, and the supports provided were identified. This analysis was carried out from a cognitive, neurobiological perspective with or without the presence of disability or chronicdegenerative disease; as well as the search for socioaffective indicators or other psychosocial factors that may impact this inclusion process. Contribution. The results obtained will allow establishing strategies to improve the process of educational and labor inclusion in this population considered as vulnerable.


Sensors ◽  
2021 ◽  
Vol 21 (23) ◽  
pp. 7991
Author(s):  
Jon Kerexeta Sarriegi ◽  
Andoni Beristain Iraola ◽  
Roberto Álvarez Sánchez ◽  
Manuel Graña ◽  
Kristin May Rebescher ◽  
...  

The global population is aging in an unprecedented manner and the challenges for improving the lives of older adults are currently both a strong priority in the political and healthcare arena. In this sense, preventive measures and telemedicine have the potential to play an important role in improving the number of healthy years older adults may experience and virtual coaching is a promising research area to support this process. This paper presents COLAEVA, an interactive web application for older adult population clustering and evolution analysis. Its objective is to support caregivers in the design, validation and refinement of coaching plans adapted to specific population groups. COLAEVA enables coaching caregivers to interactively group similar older adults based on preliminary assessment data, using AI features, and to evaluate the influence of coaching plans once the final assessment is carried out for a baseline comparison. To evaluate COLAEVA, a usability test was carried out with 9 test participants obtaining an average SUS score of 71.1. Moreover, COLAEVA is available online to use and explore.


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