Coping with Chronic Disease? Chronic Disease and Disability in Elderly American Population 1982-1999

Aranovich, Gabriel; Bhattacharya, Jay; Garber, Alan M.; MaCurdy, Thomas

doi:10.3386/w14811

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…We used decomposition analysis to estimate contributions of changes in population sociodemographic composition, chronic diseases, and health behaviors, and trends in their disabling effects during the same period to disability trends. While most studies have focused on ADL and instrumental activities of daily living (IADL) limitations (Freedman et al 2007;Aranovich et al 2009;Seeman et al 2010), we used four additional measures of disability. The four measures are among the precursors of ADL and IADL limitations.…”

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confidence: 99%

Explaining Disability Trends in the U.S. Elderly and Near‐Elderly Population

Chen

Sloan

2015

Health Services Research

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Objective. To examine disability trends among U.S. near-elderly and elderly persons and explain observed trends. Data Source. 1996-2010 waves of the Health and Retirement Study. Study Design. We first examined trends in Activities of Daily Living and Instrumental Activities of Daily Living limitations, and large muscle, mobility, gross motor, and fine motor indexes. Then we used decomposition analysis to estimate contributions of changes in sociodemographic composition, self-reported chronic disease prevalence and health behaviors, and changes in disabling effects of these factors to disability changes between 1996 and 2010. Principal Findings. Disability generally increased or was unchanged. Increased trends were more apparent for near-elderly than elderly persons. Sociodemographic shifts tended to reduce disability, but their favorable effects were largely offset by increased self-reported chronic disease prevalence. Changes in smoking and heavy drinking prevalence had relatively minor effects on disability trends. Increased obesity rates generated sizable effects on lower-body functioning changes. Disabling effects of self-reported chronic diseases often declined, and educational attainment became a stronger influence in preventing disability. Conclusions. Such unfavorable trends as increased chronic disease prevalence and higher obesity rates offset or outweighed the favorable effects with the result that disability remained unchanged or increased.

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confidence: 99%

Explaining Disability Trends in the U.S. Elderly and Near‐Elderly Population

Chen

Sloan

2015

Health Services Research

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“…Thus, people led a longer but a more disabled life. In 2009, Aranovich et al 51 found a rise in the chronic diseaserelated disability rates of the elderly in recent decades and thought it was caused mainly by improvement in health-care services. Adequate and advanced health-care services such as effective disease prevention, mobility aids, home-based long-term care, and hospice care, which belong to the direct nonmedical and indirect sectors, may help reduce the experienced disability caused by life expenses.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, people led a longer but a more disabled life. In 2009, Aranovich et al 51 . found a rise in the chronic disease‐related disability rates of the elderly in recent decades and thought it was caused mainly by improvement in health‐care services.…”

Section: Discussionmentioning

confidence: 99%

The impacts of health insurance and resource on the burden of Alzheimer's disease and related dementias in the world population

Wang

Ren

et al. 2022

Alzheimer's & Dementia

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Introduction:The increasing prevalence of Alzheimer's disease and related dementias (ADRD) presents both a burden and an opportunity for intervention. This study aims to estimate the impacts of health insurance and resources on the burden attributed to ADRD.Method: Data were mainly collected from global databases for ADRD. Analysis of variance, Pearson correlation, random-effects, and fixed-effects model analyses were used in this study.Results: Although the current medical expenditures were increasing and out of pocket (OOP) expenditures were declining generally in various countries, the collected global data showed an increased burden of ADRD on patients both physically and economically. Furthermore, health resources were negatively associated with disability-adjusted life years (DALY), death, and years of life lost (YLL), but were otherwise positively associated with years of life lived with disability (YLD).Discussion: Effective measures should be considered to cope with the rising burden.Meanwhile, there is an urgent call for constructive and sustainable rational plans and global collaboration. K E Y W O R D SAlzheimer's disease, current health expenditure, global burden of disease, health resources, insurance, out-of-pocket expenditures Highlights• We explored how health insurance and resources affect Alzheimer's disease and related dementias (ADRD)-related burden.Jin-Tao Wang, Gang Xu, and Ru-Jing Ren contributed equally to this paper.

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Coping with Chronic Disease? Chronic Disease and Disability in Elderly American Population 1982-1999

Cited by 2 publications

References 9 publications

Explaining Disability Trends in the U.S. Elderly and Near‐Elderly Population

Explaining Disability Trends in the U.S. Elderly and Near‐Elderly Population

The impacts of health insurance and resource on the burden of Alzheimer's disease and related dementias in the world population

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