Assessment of Self-care Among Older African Americans

Assessment of Self-care Among Older African Americans PDF Author: Osei Kofi Darkwa
Publisher:
ISBN:
Category :
Languages : en
Pages : 268

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Assessment of Self-care Among Older African Americans

Assessment of Self-care Among Older African Americans PDF Author: Osei Kofi Darkwa
Publisher:
ISBN:
Category :
Languages : en
Pages : 268

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Book Description


Self Care in Later Life

Self Care in Later Life PDF Author: Gordon H. DeFriese
Publisher: Springer Publishing Company
ISBN: 0826196950
Category : Social Science
Languages : en
Pages : 294

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Book Description
"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.

Validation of the Self-care Utility Geriatric African American Rating (SUGAAR) for Type 2 Diabetes

Validation of the Self-care Utility Geriatric African American Rating (SUGAAR) for Type 2 Diabetes PDF Author: Gina Marie McCaskill
Publisher:
ISBN:
Category : Electronic dissertations
Languages : en
Pages : 165

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Book Description
The primary purpose of this study was to further develop the SUGAAR, an instrument designed to assess the self-care practices of older African American with type 2 diabetes. The instrument was initiated as a project for a research class and was further assessed, modified, and administered for this dissertation study. The secondary purpose of this study was to draw preliminary conclusions about diabetes self-care, health and functional status of a sample of community-dwelling African Americans 65 years and older with a self-reported diagnosis of type 2 diabetes. Purposive sampling was used to recruit 125 older African Americans across five counties in Alabama. Participants were interviewed in their homes or at a private location of their choosing. Regarding the development of the instrument, findings from the cognitive interviews, pilot test, and earlier developmental work provided support for the face validity and content validity of the SUGAAR. The results from the KR-20 indicate that participants' diabetes self-care is not a unidimensional concept. The results from the factor analysis did not support a stable factor structure for the SUGAAR. The inability to identify multidimensionality in the instrument may indicate that individuals with type 2 diabetes may not accomplish self-care practices in the same clusters of practices that make sense to health care practitioners and researchers. However, findings indicate content and convergent validity of the SUGAAR, which suggests it is a valid checklist for use among African Americans 65 years and older. Regarding diabetes self-care, findings suggest differences between age groups regarding diabetes self-care. Middle-old participants are engaging in more diabetes self-care compared to the youngest-old participants, which supports a trend in the data that suggests participants 75 to 84 years old are healthier than participants 65 to 74 years, except regarding the use or ownership of supportive devices. Overall, participants are receiving messages about the importance of diabetes self-care and health in late life, which they are trying to put into practice.

Families Caring for an Aging America

Families Caring for an Aging America PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309448093
Category : Medical
Languages : en
Pages : 367

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Book Description
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

Racial and Ethnic Differences in the Health of Older Americans

Racial and Ethnic Differences in the Health of Older Americans PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309175569
Category : Social Science
Languages : en
Pages : 312

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Book Description
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.

Radical Care

Radical Care PDF Author: Hiʻilei Julia Hobart
Publisher:
ISBN: 9781478008781
Category : Social Science
Languages : en
Pages : 0

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Book Description
Care has re-entered the zeitgeist. In the aftermath of the 2016 U.S. presidential election, #selfcare exploded across media platforms. Beyond this popular focus on self-care rituals, care has also emerged as a driving force within new collective movements. Situating discussions of care within a historical trajectory of feminist, queer, and Black activism, contributors to this special issue consider how individuals and communities receive and provide care in order to survive in environments that challenge their very existence. They explore how trans activists find resilience and vitality through coalitional labor; argue that social movements should expand mutual aid strategies, focusing on solidarity over charity; discuss a neoliberal university wellness culture that seeks to patch up structural care deficits with quick fixes like meditation apps and yoga classes; and more. As the traditionally undervalued labor of caring becomes recognized as a key element of survival, contributors show how radical care provides a roadmap for not only enduring precarious worlds but also envisioning new futures. In the face of state-sanctioned violence, economic crisis, and impending ecological collapse, collective care offers a way forward. Contributors. Nicole Charles, Elijah Adiv Edelman, Hi'ilei Hobart, Tamara Kneese, Micki McGee, Leyla Savloff, Cotten Seiler, Dean Spade

Social Isolation and Loneliness in Older Adults

Social Isolation and Loneliness in Older Adults PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309671035
Category : Social Science
Languages : en
Pages : 317

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Book Description
Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.

Understanding Racial and Ethnic Differences in Health in Late Life

Understanding Racial and Ethnic Differences in Health in Late Life PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309165865
Category : Social Science
Languages : en
Pages : 184

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Book Description
As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

Mental Health

Mental Health PDF Author:
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 28

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Critical Perspectives on Racial and Ethnic Differences in Health in Late Life

Critical Perspectives on Racial and Ethnic Differences in Health in Late Life PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309092116
Category : Social Science
Languages : en
Pages : 753

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Book Description
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.