A Diverse & Aging Cali as long as nia Health Issues Outline Growing Diversity of Elderly Cali as long as nia health disparities from a Public Health Perspective Geriatric Issues

A Diverse & Aging Cali as long as nia Health Issues Outline Growing Diversity of Elderly Cali as long as nia health disparities from a Public Health Perspective Geriatric Issues www.phwiki.com

A Diverse & Aging Cali as long as nia Health Issues Outline Growing Diversity of Elderly Cali as long as nia health disparities from a Public Health Perspective Geriatric Issues

Hayes, Derrick, Host has reference to this Academic Journal, PHwiki organized this Journal A Diverse & Aging Cali as long as nia Health Issues Steven P. Wallace, Ph.D. Professor, UCLA School of Public Health Assoc. Dir., UCLA Center as long as Health Policy Research Co-PI, Resource Centers as long as Minority Aging Research Coordinating Center CCGG 2007 Annual Meeting Outline Demographics of Cali as long as nia Overview of health disparities from a public health perspective What we need to consider as long as the future Sources of in as long as mation on health status of elders of color Growing Diversity of Elderly Source: Cali as long as nia Department of Finance, May 2004 www.dof.ca.gov/HTML/DEMOGRAP/ReportsPapers/Projections/P3/P3.asp

Damietta University EG www.phwiki.com

This Particular University is Related to this Particular Journal

Source: http://www.healthpolicy.ucla.edu/pubs/publication.asppubID=77 Source: http://www.healthpolicy.ucla.edu/pubs/publication.asppubID=77 Source: http://www.healthpolicy.ucla.edu/pubs/publication.asppubID=77

Source: http://www.healthpolicy.ucla.edu/pubs/publication.asppubID=77 Cali as long as nia health disparities from a Public Health Perspective Geriatric Issues Chronic conditions: Urinary incontinence, Falls, Depression Health care: Polypharmacy, Oral health access, “Healthy” Death Environment: Social support, Healthy communities See Wallace, Steven P. “The Public Health Perspective on Aging.” Generations. 29:2(2005) http://www.generationsjournal.org/generations/gen29-2/article-thepublichealth.cfm

Incontinence past month, women 65+ Source: 2003 Cali as long as nia Health Interview Survey Multiple falls past year, age 65+ Source: 2003 Cali as long as ian Health Interview Survey Poor mental health past month, age 60+ Source: 2003 Cali as long as nia Health Interview Survey

7 or more prescriptions, age 65+ Source: 2004 MEPS Elders w/7+ prescriptions average 1+ inappropriate medications Could not af as long as d needed dental care past year, age 60+ Source: 2003 Cali as long as nia Health Interview Survey Advance directives of nursing home residents (odds ratios) Source: Degenholtz, et al. Persistence of racial disparities in advance care plan documents among nursing home residents. J Am Geriatr Soc. 2002; 50:378-81. Controlling as long as age, gender, education, LOS, chronic diseases, dementia, physical function, cognitive status, depression

Availability of someone to help w/daily chores when sick ,age 60+ Source: 2003 Cali as long as nia Health Interview Survey (not shown: a little, sometimes) Neighbors are afraid to go out at night , by % poverty, age 60+ Source: 2003 Cali as long as nia Health Interview Survey Geriatric Issues – Summary Latino elderly mortality is a paradox Many geriatric conditions that do not contribute to death rates exhibit disparities among elders

Public health is Assuring the conditions under which people can be healthy (Institute of Medicine, Committee as long as the Study of the Future of Public Health. The future of public health. Washington, DC: National Academy Press, 1988) Population / community / system focus Interest in prevention vs. cure Emphasis on health vs. disease Types of prevention Primary – prevent problem from happening, e.g. immunizations Secondary – detect problem early in addition to treat be as long as e serious harm results, e.g. breast cancer screening Tertiary – after a health problem has happened, maximize independence & quality of life, e.g. rehab, in-home supportive services Health focus versus disease Health is not just absence of disease But limited funding as long as non-disease programs Photo credit: U.S. Administration on Aging

Falls – a public health approach Primary – Promote physical activity, monitor as long as polypharmacy effects, universal housing design (all older adults) Secondary – Strength training, environmental modifications (at risk older adults) Tertiary – Counseling to decrease fear of falling, improve primary care ID/treatment of falls, social support interventions Medical care disparities No usual source of care Problem underst in addition to ing the doctor Satisfaction with care No usual source of care, age 60+ Source: 2003 Cali as long as nia Health Interview Survey

Hayes, Derrick WZYP-FM Host www.phwiki.com

Hard time underst in addition to ing doctor last visit, by language spoken at home, age 60+ Source: 2003 Cali as long as nia Health Interview Survey Hard time getting needed health care past 12 months, by language spoken at home, age 60+ Source: 2003 Cali as long as nia Health Interview Survey Highest rating of health care past 12 months (10, on scale 1-10), by language spoken at home, age 60+ Source: 2003 Cali as long as nia Health Interview Survey

Conclusions Important disparities in geriatric health exist as long as elders of color Health care access is problematic as long as Latino elders; important to not only look at satisfaction as outcome as long as Latinos Public health approaches to prevention using multilevel interventions are possible to reduce those disparities Funded by NIA since 1997, its mission is to: Increase the number of researchers who focus on the health of minority elders. Enhance the diversity in the professional work as long as ce by mentoring minority academic researchers as long as careers in minority elders health research. Improve recruitment & retention methods used to enlist minority elders in studies so that research can accurately identify in addition to work toward solutions to health disparities. Create culturally sensitive health measures that assess the health status of minority elders with greater precision, in addition to increase the effectiveness of interventions designed to improve their health in addition to well-being. www.rcmar.ucla.edu

http://swallace.bol.ucla.edu

Hayes, Derrick Host

Hayes, Derrick is from United States and they belong to WZYP-FM and they are from  Athens, United States got related to this Particular Journal. and Hayes, Derrick deal with the subjects like Music

Journal Ratings by Damietta University

This Particular Journal got reviewed and rated by Damietta University and short form of this particular Institution is EG and gave this Journal an Excellent Rating.