Pub Date : 2023-12-15DOI: 10.21926/obm.geriatr.2304261
Jalal Uddin, Meredith Greene, Leslie Dubbin, Madeline Deutsch, Jason Flatt
Housing is one of the top four most needed services for LGBTQ+ older adults, and this study focuses on the intersection of depression and social antecedents among LGBTQ+ older adults eligible for low-income housing. To explore social antecedents (i.e., demographics, early events, later events, social integration, and stressors) associated with screening positive for depression among low-income LGBTQ+ older adults from two cities in the Western United States. A cross-sectional study was conducted with LGBTQ+ older adults (n = 241). A two-item version of the Patient Health Questionnaire (PHQ-2) was used to screen for depression. Hierarchical logistic regression tested associations between screening positive for depression and social antecedents. The average age of participants was 68 years and 92.5% identified as LGBTQ+. Over 24% (n = 58) screened positive for depression (PHQ-2 ≥ 3). Bivariate analyses found associations between screening positive for depression and several social antecedents, including demographics, later events, social integration, and stressors. Hierarchical logistic regression models found that LGBTQ+ older adults earning $30,000 or less were nearly five times more likely to screen positive depression than those earning more (OR = 4.57, 95% CI = 1.53-13.66, p = 0.006). Additionally, stressors such as problems with memory (OR = 4.05, 95% CI = 1.66-9.85, p = 0.002) and poor/fair quality of life (OR = 5.44, 95% CI = 2.24-13.20, p < 0.001) were associated with a 4-to-5 times higher odds of screening positive for depression compared with those who did not have these stressors. These findings reveal patterns of associations between social antecedents and depression among LGBTQ+ older adults eligible for low-income housing. This emphasizes the need for future research on the impact of housing and related structural interventions to promote the mental health of diverse aging populations.
{"title":"Examining the Role Between Social Antecedents and Depression among LGBTQ+ Older Adults Eligible for Low-Income Housing","authors":"Jalal Uddin, Meredith Greene, Leslie Dubbin, Madeline Deutsch, Jason Flatt","doi":"10.21926/obm.geriatr.2304261","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304261","url":null,"abstract":"Housing is one of the top four most needed services for LGBTQ+ older adults, and this study focuses on the intersection of depression and social antecedents among LGBTQ+ older adults eligible for low-income housing. To explore social antecedents (i.e., demographics, early events, later events, social integration, and stressors) associated with screening positive for depression among low-income LGBTQ+ older adults from two cities in the Western United States. A cross-sectional study was conducted with LGBTQ+ older adults (n = 241). A two-item version of the Patient Health Questionnaire (PHQ-2) was used to screen for depression. Hierarchical logistic regression tested associations between screening positive for depression and social antecedents. The average age of participants was 68 years and 92.5% identified as LGBTQ+. Over 24% (n = 58) screened positive for depression (PHQ-2 ≥ 3). Bivariate analyses found associations between screening positive for depression and several social antecedents, including demographics, later events, social integration, and stressors. Hierarchical logistic regression models found that LGBTQ+ older adults earning $30,000 or less were nearly five times more likely to screen positive depression than those earning more (OR = 4.57, 95% CI = 1.53-13.66, p = 0.006). Additionally, stressors such as problems with memory (OR = 4.05, 95% CI = 1.66-9.85, p = 0.002) and poor/fair quality of life (OR = 5.44, 95% CI = 2.24-13.20, p < 0.001) were associated with a 4-to-5 times higher odds of screening positive for depression compared with those who did not have these stressors. These findings reveal patterns of associations between social antecedents and depression among LGBTQ+ older adults eligible for low-income housing. This emphasizes the need for future research on the impact of housing and related structural interventions to promote the mental health of diverse aging populations.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138997354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-04DOI: 10.21926/obm.geriatr.2304260
Gloria Gutman, M. Karbakhsh, Heather G. Stewart
This study addresses knowledge gaps concerning prevalence and risk factors for elder abuse among sexual minority (SM) compared to heterosexual Canadians aged 65+. Data derive from the Canadian Longitudinal Study on Aging, a national cohort study. Outcome variables include self-reports of psychological, physical, or financial abuse in the 12 months before interview and overall. Main explanatory variables are sexual orientation and gender identity; covariates include other socio-demographic characteristics, general and mental health. Overall prevalence of elder abuse was 10.0% among heterosexual and 12.0% among SM participants, with highest prevalence (18.1%) among SM females. The most common subtype was psychological abuse (8.8%), with highest prevalence among SM females (15.5%) followed by financial (1.4%), also with highest prevalence among SM females (7.0%). Physical abuse was least common (1.3%), with highest prevalence (2.4%) among SM males. Bivariate associations showed higher odds of experiencing psychological, financial and overall abuse among SM compared to heterosexual individuals (Odds Ratio (OR) = 1.41, 3.33 and 1.53, respectively), however within multivariable logistic regression models, sexual orientation was a significant predictor only for financial abuse (OR = 2.62). Our study is among the first to determine prevalence of elder abuse among SM older adults, and examine the interplay of gender identity and sexual orientation with other risk factors. Findings suggest divergent risk across gender and sexual orientation groups and abuse subtypes. Implications include addressing gaps in reporting and need to build capacity and agency for prevention and action, especially among SM females.
{"title":"Sexual Orientation and Risk for Elder Abuse: Findings from the Canadian Longitudinal Study on Aging","authors":"Gloria Gutman, M. Karbakhsh, Heather G. Stewart","doi":"10.21926/obm.geriatr.2304260","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304260","url":null,"abstract":"This study addresses knowledge gaps concerning prevalence and risk factors for elder abuse among sexual minority (SM) compared to heterosexual Canadians aged 65+. Data derive from the Canadian Longitudinal Study on Aging, a national cohort study. Outcome variables include self-reports of psychological, physical, or financial abuse in the 12 months before interview and overall. Main explanatory variables are sexual orientation and gender identity; covariates include other socio-demographic characteristics, general and mental health. Overall prevalence of elder abuse was 10.0% among heterosexual and 12.0% among SM participants, with highest prevalence (18.1%) among SM females. The most common subtype was psychological abuse (8.8%), with highest prevalence among SM females (15.5%) followed by financial (1.4%), also with highest prevalence among SM females (7.0%). Physical abuse was least common (1.3%), with highest prevalence (2.4%) among SM males. Bivariate associations showed higher odds of experiencing psychological, financial and overall abuse among SM compared to heterosexual individuals (Odds Ratio (OR) = 1.41, 3.33 and 1.53, respectively), however within multivariable logistic regression models, sexual orientation was a significant predictor only for financial abuse (OR = 2.62). Our study is among the first to determine prevalence of elder abuse among SM older adults, and examine the interplay of gender identity and sexual orientation with other risk factors. Findings suggest divergent risk across gender and sexual orientation groups and abuse subtypes. Implications include addressing gaps in reporting and need to build capacity and agency for prevention and action, especially among SM females.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.21926/obm.geriatr.2304259
Myunik Panthi
This article explores the adaptation process of older adults in residential care facilities in New Zealand. Through a phenomenological approach, this study provides clarity on how older adults adjust in residential care despite losses and challenges. Qualitative data on 24 older adults, 6 residential care facilities, and 10 staff were collected. Utilising qualitative software the following were identified: loss, support, acceptance and meaningful support. Initially, the unfamiliar environment and faces, structured routines, lack of interaction, absence of familiar activities, and limited visits from family and friends increased residents’ feelings of loneliness with institutionalisation. In time, they adapted to the routines and came to accept the facilities as, if not “home,” then “like home.” Participation in activities and support from staff and family contributed to this process. Activities can facilitate adjustment by promoting social contact, providing meaning and helping residents to establish new identities. The participants’ stories revealed that, despite the challenges of relocation, they adapted well to the residential environment.
{"title":"Adaptation to Residential Care: Voices from New Zealand","authors":"Myunik Panthi","doi":"10.21926/obm.geriatr.2304259","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304259","url":null,"abstract":"This article explores the adaptation process of older adults in residential care facilities in New Zealand. Through a phenomenological approach, this study provides clarity on how older adults adjust in residential care despite losses and challenges. Qualitative data on 24 older adults, 6 residential care facilities, and 10 staff were collected. Utilising qualitative software the following were identified: loss, support, acceptance and meaningful support. Initially, the unfamiliar environment and faces, structured routines, lack of interaction, absence of familiar activities, and limited visits from family and friends increased residents’ feelings of loneliness with institutionalisation. In time, they adapted to the routines and came to accept the facilities as, if not “home,” then “like home.” Participation in activities and support from staff and family contributed to this process. Activities can facilitate adjustment by promoting social contact, providing meaning and helping residents to establish new identities. The participants’ stories revealed that, despite the challenges of relocation, they adapted well to the residential environment.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138613075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-16DOI: 10.21926/obm.geriatr.2304258
Wanda Liguigli, R. Cengarle, Anita Rimanti, Giovanna Catania, L. Faglioni, S. Voltolini, Roberto Barbieri, Ilenia Zanardi Di Pietro, Beatrice Vivorio, P. Morselli, C. Iridile, Laura Rigotti, Giuseppe Lucchini, Maurizio Cantore
Home is the preferred place of death for most cancer patients. We examined which characteristics of older patients with cancer may have influenced this choice and how important may be relevant an early collaboration between oncologists and palliatives. Hospitalized patients aged ≥70 were screened by G8 questionnaire and evaluated by Comprehensive Geriatric Assessment (CGA) to identify frail and unfit ones and define the most appropriate end-of-life setting with palliatives. Using the G8 questionnaire, we screened 135 patients evaluated with the CGA and identified 75 frail, 55 unfit, and five fit. Sixty-six patients died in Hospice: 43 (50%) were male and 23 (47%) female, median age was 78. Forty-two (56%) patients were Frail and 23 (42%) Unfit. Patients with low/no dependence (median score ADL/IADL) were 14 (30%), and with high/moderate dependence were 51 (61%). Malnutrition was present in 43 patients (70%), and MMSE was none/low dementia in 28 (36%). Fifty-two patients died at home: 33 (38%) male and 19 (39%) female, median age was 78. Twenty-three (31%) patients were Frail and 27 (49%) Unfit. Patients with low/no dependence (median score ADL/IADL) were 28 (60%), and those with high/moderate dependence were 21 (25%). Malnutrition was present in 27 patients (33%), and MMSE was none/low dementia in 37 patients (48%). Active collaboration with palliatives and early identification of Unfit and Frail patients can allow 38% of patients to die at home. Patients who died at home have a better functional and cognitive status than patients who died in Hospice.
{"title":"Where Older Patients with Cancer Die? A Retrospective Study","authors":"Wanda Liguigli, R. Cengarle, Anita Rimanti, Giovanna Catania, L. Faglioni, S. Voltolini, Roberto Barbieri, Ilenia Zanardi Di Pietro, Beatrice Vivorio, P. Morselli, C. Iridile, Laura Rigotti, Giuseppe Lucchini, Maurizio Cantore","doi":"10.21926/obm.geriatr.2304258","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304258","url":null,"abstract":"Home is the preferred place of death for most cancer patients. We examined which characteristics of older patients with cancer may have influenced this choice and how important may be relevant an early collaboration between oncologists and palliatives. Hospitalized patients aged ≥70 were screened by G8 questionnaire and evaluated by Comprehensive Geriatric Assessment (CGA) to identify frail and unfit ones and define the most appropriate end-of-life setting with palliatives. Using the G8 questionnaire, we screened 135 patients evaluated with the CGA and identified 75 frail, 55 unfit, and five fit. Sixty-six patients died in Hospice: 43 (50%) were male and 23 (47%) female, median age was 78. Forty-two (56%) patients were Frail and 23 (42%) Unfit. Patients with low/no dependence (median score ADL/IADL) were 14 (30%), and with high/moderate dependence were 51 (61%). Malnutrition was present in 43 patients (70%), and MMSE was none/low dementia in 28 (36%). Fifty-two patients died at home: 33 (38%) male and 19 (39%) female, median age was 78. Twenty-three (31%) patients were Frail and 27 (49%) Unfit. Patients with low/no dependence (median score ADL/IADL) were 28 (60%), and those with high/moderate dependence were 21 (25%). Malnutrition was present in 27 patients (33%), and MMSE was none/low dementia in 37 patients (48%). Active collaboration with palliatives and early identification of Unfit and Frail patients can allow 38% of patients to die at home. Patients who died at home have a better functional and cognitive status than patients who died in Hospice.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":"9 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139269054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.21926/obm.geriatr.2304257
Vladimir N. Gorchakov, Kirill M. Nicolaychuk, Olga V. Gorchakova, Georgi A. Demchenko, Bayan A. Nurmakhanova
Lymph nodes are prioritized in protecting and ensuring endoecological safety at different periods of life, especially in retirement age. It destabilizes the structure and function of the lymphatic system and organs when aging increases the risk of comorbid conditions. This is a sign of age-related pathology. Improving lymph node function is an essential task in integrating gerontology and lymphology. The solution to this problem is possible with the help of a phytotherapeutic agent, which involves the evaluation of efficacy with effect on intranodular functional systems - compartments, hydration, and trace elements. Phytotherapy weakens (slows) the intensity of the old lymph node changes. Phytotherapy has a modifying effect on structures with increased hydration and trace element concentration. Phytotherapy prevents age-dependent changes in the lymph node and increases the reliability of lymph node operation in old age.
{"title":"Phytomodification Effects of Visceral Lymph Node Aging","authors":"Vladimir N. Gorchakov, Kirill M. Nicolaychuk, Olga V. Gorchakova, Georgi A. Demchenko, Bayan A. Nurmakhanova","doi":"10.21926/obm.geriatr.2304257","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304257","url":null,"abstract":"Lymph nodes are prioritized in protecting and ensuring endoecological safety at different periods of life, especially in retirement age. It destabilizes the structure and function of the lymphatic system and organs when aging increases the risk of comorbid conditions. This is a sign of age-related pathology. Improving lymph node function is an essential task in integrating gerontology and lymphology. The solution to this problem is possible with the help of a phytotherapeutic agent, which involves the evaluation of efficacy with effect on intranodular functional systems - compartments, hydration, and trace elements. Phytotherapy weakens (slows) the intensity of the old lymph node changes. Phytotherapy has a modifying effect on structures with increased hydration and trace element concentration. Phytotherapy prevents age-dependent changes in the lymph node and increases the reliability of lymph node operation in old age.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":"15 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135326317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-30DOI: 10.21926/obm.geriatr.2304256
Lotte Hvas
Narratives and how women interpret their symptoms have always been a part of how menopause is experienced. Today, as women feel more accessible to talk about menopause, new narratives are being formed and negotiated - both to menopause and concerning women becoming older. These different narratives mirror the fact that the transitional phase differs from woman to woman and that some women experience many symptoms while others do not seem bothered at all. Some narratives underscore menopause as a transformative period, offering opportunities to adapt to new life roles and highlighting middle-aged and older women as individuals of competence, confidence, and experience. Other narratives center on describing bodily symptoms - primarily "classic symptoms," notably hot flushes, but also the broad array of physical and mental manifestations that may arise from one's early forties to late fifties. In this paper, I will, drawing on two decades of research on the topic, discuss examples from the ongoing debate about emerging new narratives: “The Competent Middle-Aged Woman,” “All Symptoms Are Menopausal Symptoms,” and “Menopause in the Workplace.” As medical society members who are in contact with women during this life phase, we need to support narratives that contribute to pride and strength while countering shame and embarrassment. Many women need more information about what is happening in their bodies, and some menopausal women need medical intervention. However, fostering healthy women’s trust in their bodies is equally important. Menopause is a natural part of a woman’s life, for better or worse, and not necessarily an issue that should be approached as a medical problem. It's crucial to maintain stories about competent middle-aged women being valuable assets in the workforce with excellent leadership potential instead of solely emphasizing the needs of those experiencing severe symptoms.
{"title":"Narratives about Menopause","authors":"Lotte Hvas","doi":"10.21926/obm.geriatr.2304256","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304256","url":null,"abstract":"Narratives and how women interpret their symptoms have always been a part of how menopause is experienced. Today, as women feel more accessible to talk about menopause, new narratives are being formed and negotiated - both to menopause and concerning women becoming older. These different narratives mirror the fact that the transitional phase differs from woman to woman and that some women experience many symptoms while others do not seem bothered at all. Some narratives underscore menopause as a transformative period, offering opportunities to adapt to new life roles and highlighting middle-aged and older women as individuals of competence, confidence, and experience. Other narratives center on describing bodily symptoms - primarily \"classic symptoms,\" notably hot flushes, but also the broad array of physical and mental manifestations that may arise from one's early forties to late fifties. In this paper, I will, drawing on two decades of research on the topic, discuss examples from the ongoing debate about emerging new narratives: “The Competent Middle-Aged Woman,” “All Symptoms Are Menopausal Symptoms,” and “Menopause in the Workplace.” As medical society members who are in contact with women during this life phase, we need to support narratives that contribute to pride and strength while countering shame and embarrassment. Many women need more information about what is happening in their bodies, and some menopausal women need medical intervention. However, fostering healthy women’s trust in their bodies is equally important. Menopause is a natural part of a woman’s life, for better or worse, and not necessarily an issue that should be approached as a medical problem. It's crucial to maintain stories about competent middle-aged women being valuable assets in the workforce with excellent leadership potential instead of solely emphasizing the needs of those experiencing severe symptoms.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":"45 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136104338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-26DOI: 10.21926/obm.geriatr.2304255
Ayan Mishra, Barsha Panda, Debosree Ghosh
Non Alcoholic Fatty Liver Disease (NAFDL) is a condition in which an individual suffers from an accumulation of fat in the liver. This is a disease condition with a multifactorial etiology. Some potent causes of such conditions are altered thyroid condition, abnormal metabolism in the body due to aging or menopause, or any other hormonal imbalance. Most of these causes are regulated by genetics, lifestyle, and environmental factors. Menopause comes with tremendous hormonal turmoil in the human body and brings various abnormal conditions that significantly divert from physiological conditions. One such condition that comes along with menopause in women is NAFLD. Also, the progression of NAFDL is more in post-menopausal women than in premenopausal women. This review aims to comprehend and understand from the existing literature if the prevailing NAFLD condition worsens and aggravates in women with menopause or remains unaffected. This short review briefly discusses the pathophysiology of the onset and progression of NAFDL in post-menopausal women. Lifestyle restrictions, diet, proper monitoring, and medications and supplementations are the only ways to manage NAFLD in post-menopausal women. A detailed and better understanding of NAFDL, its onset, progression, and association with the physiological condition of post-menopausal women is necessary to better manage and treat the NAFDL condition in post-menopausal women.
{"title":"The Pathophysiology and Management of NAFDL in Post-menopausal Women: An Updated Short Review","authors":"Ayan Mishra, Barsha Panda, Debosree Ghosh","doi":"10.21926/obm.geriatr.2304255","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304255","url":null,"abstract":"Non Alcoholic Fatty Liver Disease (NAFDL) is a condition in which an individual suffers from an accumulation of fat in the liver. This is a disease condition with a multifactorial etiology. Some potent causes of such conditions are altered thyroid condition, abnormal metabolism in the body due to aging or menopause, or any other hormonal imbalance. Most of these causes are regulated by genetics, lifestyle, and environmental factors. Menopause comes with tremendous hormonal turmoil in the human body and brings various abnormal conditions that significantly divert from physiological conditions. One such condition that comes along with menopause in women is NAFLD. Also, the progression of NAFDL is more in post-menopausal women than in premenopausal women. This review aims to comprehend and understand from the existing literature if the prevailing NAFLD condition worsens and aggravates in women with menopause or remains unaffected. This short review briefly discusses the pathophysiology of the onset and progression of NAFDL in post-menopausal women. Lifestyle restrictions, diet, proper monitoring, and medications and supplementations are the only ways to manage NAFLD in post-menopausal women. A detailed and better understanding of NAFDL, its onset, progression, and association with the physiological condition of post-menopausal women is necessary to better manage and treat the NAFDL condition in post-menopausal women.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134909176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-24DOI: 10.21926/obm.geriatr.2304254
Andreea Seritan
Climate change is a major public health emergency. Natural disasters (earthquakes, floods, hurricanes, tornadoes, tsunamis, landslides, wildfires, and volcanic eruptions) have been increasing in frequency and severity and can cause lasting psychological sequelae. Older adults are highly vulnerable to the physical and mental health impacts of extreme weather and natural disasters. A narrative review was conducted to identify and summarize English-language articles focusing on the impact of climate change on older adults’ mental health. Sixty sources were identified. This review summarizes age-specific risk factors, clinical presentations (including anxiety, depressive, posttraumatic stress symptoms, and sleep disturbances), and management of psychiatric symptoms linked to climate change in the geriatric population. Older adults are highly vulnerable and can experience multiple mental health symptoms as a result of climate change. Clinicians should be aware and educated regarding the mental health impacts of climate change on older adults, so they can best support their patients.
{"title":"The Impact of Climate Change on Older Adults’ Mental Health: A Primer for Clinicians","authors":"Andreea Seritan","doi":"10.21926/obm.geriatr.2304254","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304254","url":null,"abstract":"Climate change is a major public health emergency. Natural disasters (earthquakes, floods, hurricanes, tornadoes, tsunamis, landslides, wildfires, and volcanic eruptions) have been increasing in frequency and severity and can cause lasting psychological sequelae. Older adults are highly vulnerable to the physical and mental health impacts of extreme weather and natural disasters. A narrative review was conducted to identify and summarize English-language articles focusing on the impact of climate change on older adults’ mental health. Sixty sources were identified. This review summarizes age-specific risk factors, clinical presentations (including anxiety, depressive, posttraumatic stress symptoms, and sleep disturbances), and management of psychiatric symptoms linked to climate change in the geriatric population. Older adults are highly vulnerable and can experience multiple mental health symptoms as a result of climate change. Clinicians should be aware and educated regarding the mental health impacts of climate change on older adults, so they can best support their patients.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":"173 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135219602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-11DOI: 10.21926/obm.geriatr.2304253
Giuseppe Cocco, Stefano Pandolfi
Both from a healthcare and a socioeconomic perspective, research on senescence is increasingly essential. Indeed, in industrialized countries, the increased human longevity confronts medicine with many old patients with age-related pathologies. The paper reviews the biological theories on aging, the impact of reactive oxygen species, telomers, epigenetics, and genetics (e.g., gerontogenes) on-age-related pathologies. Also, the paper reviews available and under research therapeutic approaches (e.g., senolytics) aimed to prolong life span and reduce the morbidity related to old age.
{"title":"Age-Related Pathologies and Life Span","authors":"Giuseppe Cocco, Stefano Pandolfi","doi":"10.21926/obm.geriatr.2304253","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304253","url":null,"abstract":"Both from a healthcare and a socioeconomic perspective, research on senescence is increasingly essential. Indeed, in industrialized countries, the increased human longevity confronts medicine with many old patients with age-related pathologies. The paper reviews the biological theories on aging, the impact of reactive oxygen species, telomers, epigenetics, and genetics (e.g., gerontogenes) on-age-related pathologies. Also, the paper reviews available and under research therapeutic approaches (e.g., senolytics) aimed to prolong life span and reduce the morbidity related to old age.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136063297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-05DOI: 10.21926/obm.geriatr.2304252
Ushma J Patel, Madeline K Moureau, Joan M Neuner, Heidi W Brown
More than 60% of adult women in the United States have urinary incontinence (UI), with the prevalence increasing to over 80% in women over age 65. Despite its high prevalence, most patients do not seek care and few clinicians screen for UI. The Medicare Health Outcomes Survey queries patients about satisfaction with their provider’s discussion and management of UI, but formal recommendations about screening, diagnosis, and treatment are lacking. This review presents a practical algorithm for primary care providers to incorporate management of UI into routine preventive care for women, and outlines UI prevalence, risk factors, screening, and non-surgical treatment options.
{"title":"Screening and Treating Urinary Incontinence in Primary Care: A Missed Opportunity","authors":"Ushma J Patel, Madeline K Moureau, Joan M Neuner, Heidi W Brown","doi":"10.21926/obm.geriatr.2304252","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2304252","url":null,"abstract":"More than 60% of adult women in the United States have urinary incontinence (UI), with the prevalence increasing to over 80% in women over age 65. Despite its high prevalence, most patients do not seek care and few clinicians screen for UI. The Medicare Health Outcomes Survey queries patients about satisfaction with their provider’s discussion and management of UI, but formal recommendations about screening, diagnosis, and treatment are lacking. This review presents a practical algorithm for primary care providers to incorporate management of UI into routine preventive care for women, and outlines UI prevalence, risk factors, screening, and non-surgical treatment options.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134975387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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