Nursing home visitor policy and COVID-19 infection rates
During the Coronavirus disease 2019 (COVID-19) pandemic, Ohio was the only state that collected facility-level visitation data after rescinding its ban on visitors.
John R. Bowblis • Huiwen Xu
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Eliminating Medicare bad debt payments: are critical access and rural hospitals at risk?
While Medicare Allowable Bad Debt (MBD), defined as unpaid patient financial obligations Medicare partially reimburses to hospitals, represents only 0.12% of patient revenue, policymakers and execu...
John R. Bowblis • Robert Tyler Braun • Dunc Williams
Rural-dwelling older adults have greater mental health disparities with higher rates of depression and anxiety compared to their urban counterparts; however, reaching these communities to understan...
Loneliness and social isolation can negatively impact health, wellbeing, and quality of life of older adults.
Loneliness in Resettlement Among Multi-Ethnic Resettled Refugees in Ohio
This study assessed the prevalence and factors associated with loneliness among five resettled communities in Ohio: Afghan, Bhutanese, Congolese, Ethiopian/Eritrean, and Somali.
Isha Karmacharya • Aman Shrestha • Saruna Ghimire
Nursing homes have historically struggled to maintain adequate nurse staffing.
Perceived Discrimination and Physical and Mental Health Among Resettled Communities in Ohio
This study examined perceived discrimination and its relationship with health outcomes, including chronic illnesses and mental health problems, among refugees resettled in Ohio.
Saruna Ghimire • Isha Karmacharya
Nursing Home Staffing Expenditures and Levels are Impaired by High Medicaid Payer-Mix
Medicaid is the primary payer for most nursing home residents and reimburses below the cost of care, limiting the ability of nursing homes to increase staffing levels.
Christopher Brunt • John R. Bowblis
Polypharmacy and Depressive Symptoms in Older Adults: Does Gender Matter?
This study examined the relationship between polypharmacy and depressive symptoms among U.S. community-dwelling older adults and whether it varied by gender.
Xiao Qui • Cassandra L. Hua • J. Scott Brown • Na Sun
Lifting Federal Visitation Restriction and COVID-19 Infections in Nursing Homes
Early in the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) recommended restricting visitors from entering nursing homes as a precaution.
John R. Bowblis • Huiwen Xu • Jennifer Heston-Mullins (Jennifer L. Heston)
Expansion and Marketing of Medicare Advantage to Persons With End-Stage Kidney Disease
The 21st Century Cures Act expanded Medicare Advantage (MA) to include persons with kidney failure. Little is known about the impact of increased MA marketing for persons with end-stage kidney dise...
Joan F. Brazier • Renee R. Shield • Amal N. Trivedi • Emily A. Gadbois • Denise A. Tyler
Visitation restrictions in nursing homes were a major policy intervention in response to the COVID-19 pandemic.
John R. Bowblis • Huiwen Xu • Jennifer Heston-Mullins (Jennifer L. Heston)
Little work has explored how pragmatic data (i.e., usual care delivery data) can be used as an indicator of preference-based care delivery in nursing homes (NH) and how we can link these data to he...
Depressive symptoms among resettled Bhutanese older adults in Ohio: a cross-sectional study
There has been growing attention given to the mental health challenges faced by older adult populations, particularly among resettled refugee communities.
Aman Shrestha • Janardan Subedi • Uday Narayan Yadav • Bunsi Chapadia • Sabuj Kanti Mistry • Saruna Ghimire • Isha Karmacharya
The share of patients with kidney failure enrolled in Medicare Advantage (MA) increased from 27 percent to 47 percent after the implementation of the 21st Century Cures Act, which expanded MA eligi...
Amal N. Trivedi • Eunhae Grace Oh • Laura M. Keohane • Kevin H. Nguyen • Momotazur Rahman • Emily A. Gadbois • David J. Meyers • Denise A. Tyler • Joan F. Brazier
The National Survey of Older Americans Act Participants (NSOAAP) is collected for programs funded by Title III of the Older Americans Act (OAA; i.e., case management, congregate meals, home-deliver...
Heather L. Menne • Tochukwu J. Okolie
Current evidence concerning the effect of physical activity and social engagement on cognitive functioning in older adults with mild cognitive impairment (MCI) is underdeveloped.
Jonathon M. Vivoda • Amy Restorick Roberts • Sara J. McLaughlin • J. Scott Brown • Usha Dhakal • Seonjin Kim
Current evidence concerning the effect of physical activity and social engagement on cognitive functioning in older adults with mild cognitive impairment (MCI) is underdeveloped.
Seonjin Kim • J. Scott Brown • Amy Restorick Roberts • Usha Dhakal • Sara J. McLaughlin • Jonathon M. Vivoda
The Intersection of Successful Aging and Family Caregiving
For the millions of older adults who rely on the support of a family caregiver, successful aging is not an individual achievement but a cooperative process between a care receiver and a caregiver.
Beth Fields • Kate Perepezko • Michael Reese Wittke • Yijung Kim • Lauren R. Bangerter
The Intersection of Successful Aging and Family Caregiving
For the millions of older adults who rely on the support of a family caregiver, successful aging is not an individual achievement but a cooperative process between a care receiver and a caregiver.
Yijung Kim • Beth Fields • Lauren R. Bangerter • Michael Reese Wittke • Kate Perepezko
Life satisfaction, one promising health asset, is associated with reduced risk of several chronic diseases and mortality.
Saruna Ghimire • Sabuj Kanti Mistry • Man Kumar Tamang • Isha Karmacharya • Roshan Pokharel • Mark Fort Harris • Om Prakash Yadav • Uday Narayan Yadav • A. R. M. Mehrab Ali • Ranju Kumari Mehta • Suresh Mehta
Advances in the Study of Anticipatory Postural Adjustments
Three of the five articles in this Special Issue address APAs in the context of disease or injury.
William P. Berg
Socioeconomic, Behavioural, and Health-related Characteristics of Older Adults
The global aging population is growing rapidly, and Nepal is no exception.
Salau Din Myia • Raksha Adhikari • Bal Krishna Suvedi • Nirmal Raj Marasine • Naveen Shrestha • Shiba Bahadur Karkee • Shishir Paudel • Saruna Ghimire • Devendra Raj Singh • Saloni Pandey • Bhawana Kafle • Isha Karmacharya • Kshitij Karki
Digital health interventions show potential to increase caregivers’ access to psychosocial care; however, it is unclear to what extent existing interventions may need to be tailored to meet c...
Julie Klinger • Daniel J Buysse • Kate Perepezko • Jillian V Glazer • Kelly Shaffer • Heidi Donovan • Meghan K Mattos • Lee M Ritterband
Quality of life (QoL) is a subjective measure reflecting individuals’ evaluations based on their personal goals and values.
Aman Shrestha • Krishna Prasad Sapkota • Ranju Kumari Mehta • Man Kumar Tamang • Suresh Mehta • Rubina Quasim • Om Prakash Yadav • Saruna Ghimire • Devendra Raj Singh • Krishna Kumar Yadav • Shubash Chandra Yadav • Uday Narayan Yadav • Sabuj Kanti Mistry
Older adults residing in refugee settlements with unhealthy living environments, inadequate access to health care services, and limited psychosocial support are vulnerable to experience mental heal...
A. R. M. Mehrab Ali • Simon Rosenbaum • Shovon Bhattacharjee • Md Saiful Islam Majumder • Md Nazmul Huda • Sabuj Kanti Mistry • Uday Narayan Yadav • Saruna Ghimire • Arnob Zahid • Afsana Anwar • Probal Kumar Mondal • Abu Ansar Md Rizwan • Sumaiya Zabin Eusufzai • Nahida Akter • Suvasish Das Shuvo • Rashidul Alam Mahumud
Successful Contracting Between CBOs and Health Care Entities
Suzanne R. Kunkel • Abbe E. Lackmeyer (Abbe Linscott)
To examine the relationship between changes in nursing staff-hours per resident-day and injury-related emergency department (ED) visits among assisted living (AL) residents with Alzheimer disease a...
Elizabeth M. White • Portia Y. Cornell • Ian Matt Nelson • Cassandra L. Hua • Kali S. Thomas
Addressing the care needs, health, and well-being of family caregivers (e.g., spouses, partners, siblings, friends, neighbors, kin, and others) in the United States is a public health priority.
Beth Fields • Kate Perepezko • Blair P. Golden • Mary Wyman
Family caregivers may be at particular risk for social isolation and loneliness.
Heather L. Menne • Claire Pendergrast
Increases in loneliness among Older Americans Act participants during COVID-19
Loneliness is increasingly understood as a public health crisis, and older adults are experiencing particularly severe impacts.
Jason W. Osborne • Claire Pendergrast • Heather L. Menne
Substance Use Disorders Among Older Ohioans - The Need for Policy Change
Nearly four million older Americans are struggling with substance use disorders (SUDs).
Heather L. Menne • Bailee Brekke
Electric Bicycle Riding Improves Cardiometabolism in Moderately Active Adult
The popularity of electric bicycles (ebikes) has recently soared with sales projected to grow to $119.72 billion by 2030. This trend is driven by their lower cost and eco-friendliness compared to g...
Kyle L. Timmerman • Helaine M. Alessio
This report shares the methods, instruments, and findings of an evaluation of dementia capable community efforts in urban and rural Ohio regions conducted by Miami University’s Scripps Geront...
Jennifer Heston-Mullins (Jennifer L. Heston) • Suzanne R. Kunkel • Oksana Dikhtyar
Health and Environmental Benefits of Riding an Electric Bicycle
For individuals considering biking as an exercise or mode of active transport, encourage them to try an E-bike.
Paul T. Reidy • Kevin D. Ballard • Helaine M. Alessio • Alexandra M. Bagg • Kyle L. Timmerman • Alexander H.K. Montoye
Impact of Acute Dopamine Replacement on Cognitive Function in Parkinson's Disease
PD causes striatal dopaminergic denervation in a posterior/dorsal to anterior/ventral gradient, leaving motor and associative cortico-striato-pallido-thalamic loops differentially susceptible to hy...
Christopher Morrow • Jared T. Hinkle • Kate Perepezko • Joseph Seemiller • Vidyulata Kamath • Gregory M. Pontone • Kelly A. Mills
Frailty is multifactorial; however, psychosocial stressors contributing to frailty are poorly understood.
Shamatree Shakya • Sara J. McLaughlin • Eleanor S. McConnell • Michael P. Cary Jr. • Susan G. Silva
Adult Children’s Migration and Health-Related Quality of Life Among Older Nepali Adults
Traditionally, adult children have served as primary caretakers and providers for older Nepali adults.
Devendra Raj Singh • Sara J. McLaughlin • Hannah McCarren • Dhirendra Nath • Saruna Ghimire • Janardan Subedi
Short term e-bicycle riding results in favorable cardiometabolic shifts in moderately active adults
Electric bikes (EB) are a form of active transportation with demonstrated health benefits.
Helaine M. Alessio • Rachel A. Cooley • Alexander H. K. Montoye • Kyle L. Timmerman • Kevin D. Ballard • Alexandra M. Bagg • Katie M. Hayward • Michael J. O’Connell • Paul T. Reidy
Frailty is a geriatric syndrome linked to adverse outcomes. Co-occurring cardiometabolic factors increase frailty risk; however, their distinct combinations (typologies) associated with frailty are...
Sara J. McLaughlin • Susan G. Silva • Eleanor S. McConnell • Michael P. Cary Jr. • Shamatree Shakya
People with long-term chronic conditions often struggle to access and navigate complex health and social services.
Bhushan Khatiwada • Shradha S. Parsekar • Sabuj Kanti Mistry • Saruna Ghimire • Uday Narayan Yadav • Grish Paudel • Ashmita Gurung
Nepal’s low fertility rate and increasing life expectancy have resulted in a burgeoning older population.
Deepak Sharma • Ranju Kumari Mehta • Sabuj Kanti Mistry • Jennifer M. Kinney • Shoko Saito • Binod Rayamajhee • Saruna Ghimire • Aman Shrestha • Suresh Mehta • Uday Narayan Yadav
Effects of Caregiver Sleep Disturbances on Relationship Quality With Their Care Recipient
Sleep problems are highly prevalent and disruptive for caregivers.
Kate Perepezko • Natalie Rolle • Beth Fields • Kelly Shaffer • Scott Beach
Technology-enhanced medication taking and symptom monitoring
Taking medications correctly is a challenge worldwide.
Joel W. Hughes • R. Ranjan • L. Larsen • B. Grimm • Anthony A. Sterns • O. S. Muir • F. Ma
Greene County Council on Aging: 2021 Community Survey Findings
Read the survey results conducted to gain better understanding of the needs and interests of older Greene County residents. The Greene County Council on Aging partnered with the Scripps Gerontology...
Little is known about the overall experiences and feelings of diverse older populations during the 2020 COVID-19 pandemic.
Abigail Helsinger • Takashi Yamashita • Wonmai Punksungka • Phyllis A. Cummins • Samuel Van Vleet
The purpose of this study was to examine correlates of taking a COVID-19 test among late middle-aged and older adults using nationally representative data.
J. Scott Brown • Na Sun • Cassandra L. Hua • Xiao Qui
The influence of hearing impairment on driving avoidance among a large cohort of older drivers
As people age, some of the commonly experienced psychomotor, visual, and cognitive declines can interfere with the ability to safely drive, often leading to situational avoidance of challenging dri...
Carolyn DiGuiseppi • Lidia P. Kostyniuk • Linda V. Nyquist • David Joseph LeBlanc • Nicole Zanier • Jacqui Smith • Renée M. St Louis • Jonathon M. Vivoda • David W. Eby • Scott E. Bogard • Lisa J. Molnar • Jennifer S. Zakrajsek • David Strogatz • Raymond Yung
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Cassandra L. Hua • J. Scott Brown
What could be influencing older Ghanaians outpatient care utilization rate?
Ghana’s population is rapidly aging and there may be healthcare access and utilization issues. This study investigates some of the issues that may influence outpatient care utilization rate a...
Candidus C. Nwakasi • J. Scott Brown • Phillip Anyanwu
Problem solving in technology rich environments and cancer screening in later life
Routine cancer screening is widely recognized as an effective preventive strategy to reduce cancer mortality - the second leading cause of death in the US.
Shalini Sahoo • Takashi Yamashita • Roberto J. Millar • Phyllis A. Cummins
Intergenerational ambivalence and loneliness in later life
Previous work has explored the links between intergenerational ambivalence and other indicators of well‐being but has not examined loneliness.
J. Scott Brown • Cassandra L. Hua • Jennifer Roebuck Bulanda
This study explored the association and variabilities between mild depression...
J. Scott Brown • Sree Subedi • Candidus C. Nwakasi • Esiaka Darlingtina
The purpose of this study is to advance knowledge of the influence of educational level on trajectories and determinants of healthy ageing in midlife and older Americans.
Sara J. McLaughlin • Seonjin Kim • Jiaan Zhang • Lydia W. Li
Healthy aging in older Chinese Americans: Associations with immigrant experiences
This study examined the association between aspects of the immigrant experience—acculturation, neighborhood belonging, and perceived discrimination—and healthy aging in older Chinese Am...
Jiaan Zhang • Lydia W. Li • Sara J. McLaughlin
Healthy aging in China: Benchmarks and socio-structural correlates
The objectives of this investigation were to identify a valid and practical benchmark for the assessment of healthy aging in the Chinese population and examine its socio-structural correlates.
Jiaan Zhang • Sara J. McLaughlin • Yun Chen • Lydia W. Li • Suzanne S. X. Tham
Driving status and religious service attendance among older Americans
This study investigated the relationship between driving status and religious service attendance among older Americans and how the perceived importance of religion influences the relationship.
Sara J. McLaughlin • Jonathon M. Vivoda • Cathleen M. Connell • Karen M. Brown
The upcoming reauthorization of the Older Americans Act (OAA) is an opportunity to acknowledge the expanding priorities for that landmark legislation, along with the forward motion of Area Agencies...
Excessive daytime sleepiness (EDS) is prevalent in older adults; however, data are lacking that examine EDS across living environments.
Mary D. Naylor • Karen B. Hirschman • Liming Huang • Katherine M. Abbott • Miranda V. McPhillips • Glenna S. Brewster • Barbara J. Riegel • Alexandra L. Hanlon
Problem-solving skills in the context of technologically complex modern societies have become increasingly important to health management in later life.
Phyllis A. Cummins • Roberto J. Millar • Takashi Yamashita • Shalini Sahoo
This study assessed satisfaction among current senior center users in the Northwestern Ohio area and measured the impact that centers have on the lives of participants.
Valerie Flores (Valerie Kessler) • Luyna Ducay • Jonathon M. Vivoda
Compared to whites, blacks under-utilize primary care and over-utilize emergency department services.
Cassandra L. Hua • Anthony R. Bardo • J. Scott Brown
Partnerships between health care and social service organizations may contribute to lower health care use and spending.
Darren Liu • Takashi Yamashita • Anthony R. Bardo • Phyllis A. Cummins
This study compared Dr. Sidney Katz's original dichotomous measure of dependence in performing activities of daily living (ADL) with the National Health and Aging Trends Study's (NHATS) b...
Shahla Mehdizadeh • Stephen Frochen
This study compares the relationship between stress from the death of a parent and two indicators of well-being, substance use and mental health, in the United States and Nepal including difference...
Mark Tausig • Sree Subedi • Kelina Basnyat • J. Scott Brown • Janardan Subedi
Participant Satisfaction and the Impact of Senior Center Services in Lucas County, Ohio
This study addressed satisfaction with services and impact of senior centers among center participants in Lucas County, Ohio.
Michelle M. McGuire • Jonathon M. Vivoda
NACCHO's baseline assessment of disability inclusion within local health departments
People with disabilities can greatly benefit from inclusive health promotion and educational activities already being implemented by local health departments (LHDs), which can help reduce their ris...
Kendall Leser
Healthy Aging in the Context of Educational Disadvantage: The Role of "Ordinary Magic"
The objective of this study is to examine the correlates of healthy aging in the context of educational disadvantage and the extent to which identified correlates are shared with the wider, more ed...
Gender differences in trajectories of physical activity among older Americans with diabetes
The primary objective of this study was to examine gender differences in engagement in physical activity over time among older U.S. adults with diabetes.
Quantitative Physical Activity of Children and Adolescents in a Rural Population from Eastern Nepal
We evaluated physical activity of children and adolescents aged 6 to 18 years from the Jirel population of eastern Nepal.
Axial Quantitative Ultrasound Assessment of Pediatric Bone Quality in Eastern Nepal
This study presents quantitative ultrasonography (QUS) bone quality data for an underrepresented, south Asian pediatric population from Nepal.
Public health policies are designed for specific subsets of the population.
Dawn Carr • J. Scott Brown • Takashi Yamashita
Does cohort matter in the association between education, health literacy and health in the USA?
Growing empirical evidence supports the generally positive relationship between education, health literacy and health outcomes.
J. Scott Brown • Takashi Yamashita
Most adults with diabetes do not engage in the level of physical activity recommended for optimal disease management.
Situating stress: Lessons from lay discourses on diabetes
(Originally published as Schoenberg, N. E., Drew, E. M., Stoller, E. P., and Kart, C.S. 'Situating Stress: Lessons form Lay Discourse on Diabetes,' Medical Anthropology Quarterly, Vol. 19...
Eleanor Palo Stoller • Nancy E. Schoenberg • Elaine M. Drew • Cary Kart
This brochure provides a comprehensive set of information about preventing osteoporosis and its complications.
Mihaela Popa
Scripps Gerontology Center
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