RESUMO
OBJECTIVES: To investigate the preparations made by adults to age in place and identify disparities. METHODS: A cross-sectional survey was conducted among U.S. adults ages 50-80 years old (n = 2277). Individual, environmental, social, and community factors influencing readiness for aging in place were examined using chi-square tests and logistic regression. RESULTS: Income, disability status, and household composition, emerged as influential factors, often negatively affecting minority aging. Participants' consideration of aging in place was related to their disability status (OR 1.80 [1.32, 2.45]) and age (OR age 60-69 2.06 [1.54, 2.74], age 70-80 (OR 1.98 [1.46,2.67]), compared with age 50-59). Indigenous and Black older adults reported significantly higher levels of consideration for aging in place than White older adults (Indigenous OR 7.89 [2.35, 26.42], Black OR 1.71 [1.11, 2.64]). CONCLUSION: Aging in place is best facilitated by inclusive communities that prioritize adaptive homes and accessible community services.
Assuntos
Vida Independente , Grupos Raciais , Humanos , Idoso , Estados Unidos , Idoso de 80 Anos ou mais , Estudos Transversais , Renda , EnvelhecimentoRESUMO
OBJECTIVES: We surveyed older adults about their perceived mental health and their comfort discussing and engaging in mental health treatment. METHODS: A nationally representative survey of community-dwelling older adults aged 50-80 (N = 2,021), with respondents asked to rate their current mental health as compared to 20 years ago, comfort discussing their mental health, and potential hesitations to seeking treatment in the future. RESULTS: About 79.6% reported their mental health as the same or better than 20 years ago; 18.6% reported their mental health to be worse. Most respondents reported that they were comfortable (87.3%) discussing their mental health, preferring to discuss such concerns with their primary care provider (30.6%). About 28.5% of respondents did endorse some hesitation seeking mental health care in the future. CONCLUSIONS: Most older adults reported that their mental health was as good if not better than it was 20 years ago and felt comfortable discussing mental health concerns.
Assuntos
Serviços de Saúde Mental , Saúde Mental , Idoso , Idoso de 80 Anos ou mais , Humanos , Vida Independente , Psicoterapia , Inquéritos e QuestionáriosRESUMO
Firearms are a leading cause of injury mortality across the lifespan, with elevated risks for older adult populations. To inform prevention efforts, we conducted a probability-based web survey (12/1/2019-12/23/2019) of 2048 older adults (age 50-80) to characterize national estimates of firearm ownership, safety practices, and attitudes about health screening, counseling, and policy initiatives. Among older U.S. adults, 26.7% [95%CI = 24.8%-28.8%] report owning one or more firearms. The primary motivation for ownership was protection (69.5%), with 90.4% highlighting a fear of criminal assault. 39.4% of firearm owners reported regularly storing firearm(s) unloaded and locked, with 24.2% regularly storing at least one loaded and unlocked. While most firearm owners found healthcare screening (69.2% [95%CI: 64.9-73.1]) and safety counseling (63.2% [95%CI = 58.8-67.3]) acceptable, only 3.7% of older adults reported being asked about firearm safety by a healthcare provider in the past year. Among firearm owners, there was support for state-level policy interventions, including allowing family/police to petition courts to restrict access when someone is a danger to self/others (78.9% [95%CI = 75.1-82.3]), comprehensive background checks (85.0% [95%CI = 81.5-87.9]), restricting access/ownership under domestic violence restraining orders (88.1%; 95%CI = 84.9-90.7], and removing firearms from older adults with dementia/confusion (80.6%; 95%CI = 76.8-84.0]. Healthcare and policy-level interventions maintained higher support among non-owners than owners (p's < 0.001). Overall, data highlights opportunities exist for more robust firearm safety prevention efforts among older adults, particularly healthcare-based counseling and state/federal policies that focus on addressing lethal means access among at-risk individuals.
Assuntos
Armas de Fogo , Adulto , Idoso , Idoso de 80 Anos ou mais , Atitude , Humanos , Pessoa de Meia-Idade , Propriedade , Polícia , Segurança , Inquéritos e QuestionáriosRESUMO
Objectives: Sexual health is an important component of overall health and well-being for older adults. Despite this, little is known about the importance of sex to quality of life, as part of romantic relationships for older adults, and potential drivers of interactions between healthcare providers and older adults about sexual health. In this study using a nationally representative population, we describe perceptions and experiences of sex among older adults.Methods: A nationally representative, cross-sectional sample of community-dwelling U.S. adults aged 65-80 was surveyed about their sexual health and interaction with their health care providers about sexual health.Results: The survey completion rate was 75% (N = 1,002). Overall, 50.9% of men and 30.8% of women reported being sexually active. In all, 17.3% of adults aged 65-80 reported speaking to their health care provider about sexual health in the past two years and of those, 60.5% of patients initiated the conversation. Multivariable logistic regression demonstrated that sexual activity (yes/no), interest in sex, and satisfaction with sex life are major drivers of sexual health conversations between patients and healthcare providers.Conclusions: Many adults aged 65-80 are interested in and engage in sexual activity. While the majority of older adults reported a willingness to discuss their sexual health with their health care providers, few had done so, and most conversations were initiated by patients. Iterest in sex and satisfaction with sex life may be targets for intervention and offer a segue for providers as they begin the conversation to engage with older adults about their sexual health.Clinical Implications: Providers may have conversations with older adults about sexual health and may need sexual health training to have effective discussions; age nor chronic conditions should preclude this essential conversation. Clinical gerontologists may be helpful in this training and in encouraging patients to bring up sexual health concerns during their medical appointments.
Assuntos
Saúde Sexual , Adulto , Idoso , Estudos Transversais , Feminino , Pessoal de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Comportamento SexualRESUMO
This JAMA Patient Page describes allergic skin reactions from contact with poison ivy, poison oak, and poison sumac plants, and how to treat rashes caused by these plants.
Assuntos
Dermatite por Toxicodendron , Toxicodendron , Humanos , Toxicodendron/efeitos adversos , Dermatite por Toxicodendron/diagnóstico , Dermatite por Toxicodendron/prevenção & controle , Dermatite por Toxicodendron/terapiaAssuntos
Antibacterianos , Gestão de Antimicrobianos , Prescrições de Medicamentos , Registros Eletrônicos de Saúde , Prescrição Inadequada , Padrões de Prática Médica , Humanos , Antibacterianos/uso terapêutico , Prescrições de Medicamentos/estatística & dados numéricos , Registros Eletrônicos de Saúde/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Adulto , Prescrição Inadequada/estatística & dados numéricos , Estados Unidos/epidemiologiaRESUMO
This JAMA Patient Page discusses social isolation and loneliness as important public health concerns, especially among older adults.
Assuntos
Isolamento Social , Idoso , Feminino , Humanos , Masculino , Solidão/psicologia , Isolamento Social/psicologia , Estados Unidos/epidemiologia , Pessoa de Meia-Idade , Idoso de 80 Anos ou mais , Saúde Pública/métodos , Saúde Pública/estatística & dados numéricosRESUMO
This JAMA Insights discusses the use of monoclonal antibodies or protein-based vaccines to help prevent severe RSV infection in infants, children, and older adults.
Assuntos
Antivirais , Infecções por Vírus Respiratório Sincicial , Vacinas contra Vírus Sincicial Respiratório , Humanos , Lactente , Antivirais/uso terapêutico , Palivizumab/uso terapêutico , Infecções por Vírus Respiratório Sincicial/tratamento farmacológico , Infecções por Vírus Respiratório Sincicial/prevenção & controle , Recém-Nascido , Pré-Escolar , Idoso , Criança , Anticorpos Monoclonais Humanizados/uso terapêutico , Feminino , Gravidez , Adulto , Vacinas contra Vírus Sincicial Respiratório/uso terapêuticoRESUMO
This Medical News article discusses signs of an mpox resurgence and updated prevention and treatment information.
Assuntos
Mpox , Saúde Pública , Humanos , Mpox/diagnóstico , Mpox/epidemiologia , Incidência , Estados UnidosAssuntos
Anti-Infecciosos , Antibioticoprofilaxia , Neoplasias Pancreáticas , Pancreaticoduodenectomia , Humanos , Anti-Infecciosos/administração & dosagem , Anti-Infecciosos/uso terapêutico , Antibioticoprofilaxia/métodos , Neoplasias Pancreáticas/cirurgia , Complicações Pós-Operatórias/prevenção & controleRESUMO
This JAMA Patient Page describes respiratory syncytial virus (RSV) and its symptoms, risk factors, and preventive measures.
RESUMO
This Viewpoint addresses the state of COVID-19 as of fall 2023 in the US and summarizes key clinical information for health care professionals and patients.
RESUMO
This JAMA Patient Page describes the eligibility, safety and effectiveness, and administration procedure for the JYNNEOS vaccine for mpox infection.
Assuntos
Mpox , Vacina Antivariólica , Humanos , Mpox/prevenção & controle , Vacina Antivariólica/administração & dosagem , Vacina Antivariólica/uso terapêuticoRESUMO
This Viewpoint discusses the growth of diagnostic stewardship beyond infectious disease to reduce diagnostic errors in other fields.
Assuntos
Erros de Diagnóstico , Técnicas e Procedimentos Diagnósticos , Humanos , Erros de Diagnóstico/prevenção & controle , Técnicas e Procedimentos Diagnósticos/normasRESUMO
This JAMA Patient Page describes the problem of polypharmacy and its consequences, and how deprescribing can reduce polypharmacy.