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529 result(s) for "Older people Health and hygiene United States."
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Racial and Ethnic Differences in the Health of Older Americans
Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups. The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.
Old and sick in America : the journey through the health care system
\"Since the introduction of Medicare and Medicaid in 1965, the American health care system has steadily grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, incorporating the stories of older patients as they travel from the office to the hospital to the skilled nursing facility, and examining the influence of forces as diverse as pharmaceutical corporations, device manufacturers, and health insurance companies on their experience\"-- Provided by publisher.
Critical Perspectives on Racial and Ethnic Differences in Health in Late Life
In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.
Health Literacy and Older Adults
Adults age 65 and older make up the fastest-growing segment of the U.S. population. At the same time, the complexity of health care delivery continues to grow, creating challenges that are magnified for older adults, given that age is one of the highest correlates of low health literacy. This creates a shared obligation between health care and the health care team to use the principles, tools, and practices of health literacy so that patients and families of older adults can more easily navigate discussions related to chronic disease, polypharmacy, long-term care, palliative care, insurance complexities, the social determinants of health, and other factors that create challenges for older adults, particularly among underserved populations nationwide. To gain a better understanding of the health communication challenges among older adults and their professional and family caregivers and how those challenges affect the care older adults receive, the National Academies of Sciences, Engineering, and Medicine's Roundtable on Health Literacy convened a 1-day public workshop featuring presentations and discussions that examined the effect of low health literacy on the health of older adults. This publication summarizes the presentations and discussions from the workshop.
Self-care in later life
\"This volume is uncontestably the most comprehensive and authoritative work on the subject of self-care available to date. It should set the stage for a new policy perspective on building a health care system that incorporates self-care at its core.\"--Lowell S. Levin, Yale School of Public Health Practitioners and researchers who work with older adults are challenged to find ways to strengthen an elderly person's capacity to cope wiht age-related changes that threaten independence. This volume assesses the efficacy of self-care in maintaining autonomy. It applies a broad definition of self-care that includes a range of behaviors undertaken by individuals, families, and communities to enhance health, prevent disease, limit illness, and restore health.
Recruitment and retention in minority populations
Despite projections of significant growth in older minority populations, researchers have little more than surface-level appreciation of how cultural factors will shape mental and physical health outcomes. This volume is part of a new wave of studies designed to address the issue of recruiting and retaining minority elders for participation in research studies. The authors highlight the strengths and weaknesses of a wide array of research designs, ranging from small, in-depth qualitative studies to randomized, controlled behavioral interventions. Several chapters focus on successes with African American, Chinese American, and Mexican American elders. The practical advice contained herein will have great appeal to those working to advance the field of gerontological research.
Investigations in the economics of aging
One of the most well-established relationships in the economics of aging is that between health and wealth. Yet this relationship is also changing in conjunction with a rapidly aging population as well as a broad evolution in how people live later in life. Building on findings from earlier editions in this National Bureau of Economic Research series, Investigations in the Economics of Aging focuses on the changing financial circumstances of the elderly and the relationship of these circumstances to health and health care. Among the topics addressed are the significance of out-of-pocket health care costs, the effects of inflation on social security, and the impact of the recent financial crisis on Americans' well-being. Encompassing new data and advances in research methodology, the developments presented in this volume will have important implications for economies worldwide.
Serving minority elders in the 21st century
Nationally recognized scholars address the unique problems encountered by minority elders in achieving the goal of maximum well-being as we enter the 21st century. Topics include physical health, continuum of care, mental health, social policy, economic security and research planning and development. Minority populations surveyed include the elderly African American, Asian American, American Indian, Mexican American and women. Contributors include: D. Lee, M. Haug, R. Binstock, G. Cohen, K. Markides, T. Tripp-Reimer, E. Kahana and many more.