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Health Inequity and the Elderly

Health Inequity and the Elderly
Author: Barbara Pfeffer Billauer
Publisher:
Total Pages: 150
Release: 2021-04-05
Genre:
ISBN: 9789975154833

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The race between CO-VID-19 vaccination and infection will continue until population immunity outstrips the virus' ability to mutate and infect. When the pandemic is over, investigators, political and scientific, will mull over what went wrong and what went right. Different responses will be compared to determine effectiveness, not just on lives saved, but on incomes lost. The economic fallout will become clearer. The unforeseen derivative impact of responses on human health will also emerge - at some future time.But maybe there are lessons to be learned right now: lessons relating to the evolution of thought and behavior during times of danger and uncertainty, lessons relating to evolution of responses, lessons relating to how policy is made, and identification of deficits arising when failing to consider significant, but perhaps not obvious, outcomes, such as effects on the elderly and on their mental health.The first part of the book contains early essays reflecting public confusion and terror; the second part reflects initial responses generated by the early panic. As the earliest essays indicate, initial focus centered on conspiracy theories rather than masking and social distancing, diverting and deflecting resources from more promising and productive responses.The third section analyzes recently emerging data. These data reflect another key - and erroneous theme of the early panic - based on early and stagnant research: the virus preyed especially on the elders. Ill-thought-out policy, manifesting in isolation directives, had additional and disastrous consequences on mental health, which, in turn resulted in significantly excess dementia-related deaths. These results cry out for consideration of epidemic responses from a legal "therapeutic jurisprudential" perspective, where concern for mental health ramifications is considered before policy implementation.The relatively new field of therapeutic jurisprudence traditionally involves considering mental health effects of legislation. As mental health consequences of CoVid 19 responses continue to proliferate, even, as I show in the final chapter, perhaps disproportionately affecting minority populations, involvement of the field becomes even more important.


Inequalities of Aging

Inequalities of Aging
Author: Elana D. Buch
Publisher: NYU Press
Total Pages: 275
Release: 2018-08-28
Genre: Family & Relationships
ISBN: 1479807176

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"Elana D. Buch's "Inequalities of Aging: Paradoxes of Independence in American Home Care" focuses on the topic of American home care and explores various contradictions and points of tension within the industry. It also raises awareness of the problematic inequality that exists in the American home care industry and argues for the creation of a more sustainable system."--


Racial and Ethnic Differences in the Health of Older Americans

Racial and Ethnic Differences in the Health of Older Americans
Author: National Research Council
Publisher: National Academies Press
Total Pages: 312
Release: 1997-09-23
Genre: Social Science
ISBN: 0309175569

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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.


Late-Life Depression

Late-Life Depression
Author: Steven P. Roose
Publisher: Oxford University Press
Total Pages: 417
Release: 2004-07-15
Genre: Medical
ISBN: 0195152743

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We live in an aging world. Illnesses that are prevalent and cause significant morbidity and mortality in older people will consume an increasing share of health care resources. One such illness is depression. This illness has a particularly devastating impact in the elderly because it is often undiagnosed or inadequately treated. Depression not only has a profound impact on quality of life but it is associated with an increased risk of mortality from suicide and vascular disease. In fact for every medical illness studied, e.g. heart disease, diabetes, cancer, individuals who are depressed have a worse prognosis. Research has illuminated the physiological and behavioral effects of depression that accounts for these poor outcomes. The deleterious relationship between depression and other illnesses has changed the concept of late-life depression from a "psychiatric disorder" that is diagnosed and treated by a psychiatrist to a common and serious disorder that is the responsibility of all physicians who care for patients over the age of 60.This is the first volume devoted to the epidemiology, phenomenology, psychobiology, treatment and consequences of late-life depression. Although much has been written about depressive disorders, the focus has been primarily on the illness as experienced in younger adults. The effects of aging on the brain, the physiological and behavioral consequences of recurrent depression, and the impact of other diseases common in the elderly, make late-life depression a distinct entity. There is a compelling need for a separate research program, specialized treatments, and a book dedicated to this disorder. This book will be invaluable to psychiatrists, gerontologists, clinical psychologists, social workers, students, trainees, and others who care for individuals over the age of sixty.


Preventing Ageing Unequally

Preventing Ageing Unequally
Author: OECD
Publisher: OECD Publishing
Total Pages: 258
Release: 2017-10-18
Genre:
ISBN: 9264279083

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This report examines how the two global mega-trends of population ageing and rising inequalities have been developing and interacting, both within and across generations.


Future Directions for the Demography of Aging

Future Directions for the Demography of Aging
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 409
Release: 2018-07-21
Genre: Social Science
ISBN: 0309474108

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Almost 25 years have passed since the Demography of Aging (1994) was published by the National Research Council. Future Directions for the Demography of Aging is, in many ways, the successor to that original volume. The Division of Behavioral and Social Research at the National Institute on Aging (NIA) asked the National Academies of Sciences, Engineering, and Medicine to produce an authoritative guide to new directions in demography of aging. The papers published in this report were originally presented and discussed at a public workshop held in Washington, D.C., August 17-18, 2017. The workshop discussion made evident that major new advances had been made in the last two decades, but also that new trends and research directions have emerged that call for innovative conceptual, design, and measurement approaches. The report reviews these recent trends and also discusses future directions for research on a range of topics that are central to current research in the demography of aging. Looking back over the past two decades of demography of aging research shows remarkable advances in our understanding of the health and well-being of the older population. Equally exciting is that this report sets the stage for the next two decades of innovative researchâ€"a period of rapid growth in the older American population.


Contemporary Perspectives on Ageism

Contemporary Perspectives on Ageism
Author: Liat Ayalon
Publisher: Springer
Total Pages: 564
Release: 2018-05-22
Genre: Social Science
ISBN: 3319738208

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This open access book provides a comprehensive perspective on the concept of ageism, its origins, the manifestation and consequences of ageism, as well as ways to respond to and research ageism. The book represents a collaborative effort of researchers from over 20 countries and a variety of disciplines, including, psychology, sociology, gerontology, geriatrics, pharmacology, law, geography, design, engineering, policy and media studies. The contributors have collaborated to produce a truly stimulating and educating book on ageism which brings a clear overview of the state of the art in the field. The book serves as a catalyst to generate research, policy and public interest in the field of ageism and to reconstruct the image of old age and will be of interest to researchers and students in gerontology and geriatrics.


Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.


Practical Geriatric Oncology

Practical Geriatric Oncology
Author: Arti Hurria
Publisher: Cambridge University Press
Total Pages:
Release: 2010-09-13
Genre: Medical
ISBN: 1139490591

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The risk of cancer increases with age, and the number of older adults seeking treatment is increasing dramatically in line with the aging population. The care of older patients differs from that of younger adults because of differences in the biology of the tumor, age-related differences in host physiology, comorbidity burden and psychosocial issues, which might impact the efficacy and side effects of cancer therapy. Practical Geriatric Oncology is a comprehensive, evidence-based text that synthesizes the growing literature in this field and provides practical guidelines to the care of older adults with cancer. Coverage includes patient assessment, management of solid tumors and hematologic malignancies, the impact of age on the pharmacology of cancer therapy, surgical oncology and radiation oncology in the older adult, symptom management and supportive care. In addition to serving as core reading for oncologists and hematologists, the book will also be a useful work for other healthcare professionals who provide oncology care, including surgeons, radiation oncologists, palliative care doctors, primary care providers, geriatricians and nurses.


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

Critical Perspectives on Racial and Ethnic Differences in Health in Late Life
Author: National Research Council
Publisher: National Academies Press
Total Pages: 753
Release: 2004-10-16
Genre: Social Science
ISBN: 0309092116

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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.