Puerto Rican Elderly: Health Conditions (PREHCO) Project, 2002-2003, 2006-2007

Palloni, Alberto; Dávila, Ana; Sánchez-Ayéndez, Melba

doi:10.3886/icpsr34596.v1

Cited by 7 publications

(8 citation statements)

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“…This global measure has demonstrated predictive validity (Schnittker & Bacak, 2014) and test–retest reliability (Zajacova & Dowd, 2011). We used the Spanish translation from Palloni et al's (2013) study with Puerto Rican older adults.…”

Section: Methodsmentioning

confidence: 99%

Validation of the abbreviated Lubben Social Network Scale (LSNS‐6) and its association with self‐rated health amongst older adults in Puerto Rico

Buckley

Becker

Burnette

2022

Health Social Care Comm

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Social isolation is a well‐established determinant of late‐life well‐being, and it may be particularly relevant for older adults in Puerto Rico following Hurricane María. The abbreviated Lubben Social Network Scale (LSNS‐6) is a widely used measure of social isolation, but it has not been validated with Spanish‐speaking older adults. The objectives of this study were to (1) assess the psychometric properties of a Spanish‐language LSNS‐6 and (2) examine its association with self‐rated health (SRH) and psychological sense of community (PSOC). Data came from face‐to‐face survey interviews with a nonprobability sample of 154 community‐dwelling older adults in Puerto Rico 2 years after Hurricane María. We assessed the LSNS‐6's internal consistency reliability and convergent validity. We then conducted structural equational modelling consisting of (1) a measurement model using confirmatory factor analysis to test the factor structure of the LSNS‐6 and (2) a structural model using path analysis to examine the direct effect of social isolation on SRH and to test the role of PSOC as a mediator in this relationship. The LSNS‐6 demonstrated acceptable internal consistency reliability (α = 0.74) and convergent validity, r(151) = −0.33, p < 0.001. A correlated two‐factor model (Family and Friends) provided the best fit (comparative fit index = 0.986, Tucker–Lewis index = 0.975, root mean square error of approximation = 0.082, standardised root mean squared residual = 0.033). Path model results show the Friends factor was negatively associated with SRH (β = −0.31, p = 0.045), whilst the Family factor was nonsignificant. The Friends factor had a statistically significant indirect effect on SRH through PSOC (β = 0.08, 95% CI [0.01, 0.29]). Our findings provide insight into the effect of social isolation on health amongst older adults in Puerto Rico and highlight the potential role of PSOC for assessment and intervention with older adults in post‐disaster settings.

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Section: Methodsmentioning

confidence: 99%

Validation of the abbreviated Lubben Social Network Scale (LSNS‐6) and its association with self‐rated health amongst older adults in Puerto Rico

Buckley

Becker

Burnette

2022

Health Social Care Comm

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“…All interviews were conducted in Spanish. A more detailed description of PREHCO is provided elsewhere (Palloni, Davila, & Sanchez-Ayendez, 2013). …”

Section: Methodsmentioning

confidence: 99%

Aging in Puerto Rico: A Comparison of Health Status Among Island Puerto Rican and Mainland U.S. Older Adults

Pérez

Ailshire

2017

J Aging Health

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Objective To characterize the health status of older island Puerto Ricans, a segment of the U.S. population that has been largely overlooked in aging research. Method Data from the 2002 Puerto Rican Elderly Health Conditions Project and the 2002 Health and Retirement Study are used to examine differences in disease, disability, and self-rated health among island Puerto Ricans and the mainland U.S.-born older adult population. Differences are further examined by gender. Results Island Puerto Ricans were less likely to have heart disease, stroke, lung disease, cancer, activities of daily living (ADL) limitations, and poor self-rated health, but more likely to have hypertension and diabetes. Island Puerto Rican women had worse health relative to island Puerto Rican men. Discussion Recent challenges in the funding and provision of health care in Puerto Rico are worrisome given the large number of aging island adults, many of whom have hypertension and diabetes, two conditions that require long-term medical care.

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“…Another limitation is that stress is a complex construct and was addressed by this study through simple questions. The CRELES study data were collected in a multipurpose survey with international comparative purposes over many topics within the family of Health and Retirement Surveys methodology such as the Well-Being and Aging in Latin America and the Caribbean Study (SABE) (Albala et al, 2005;Pelaez et al, 2006;Lebrão et al, 2019), Mexican Health And Aging Study (MHAS) (Wong et al, 2017) and Puerto Rican Elderly: Health Conditions Project (PREHCO) (Palloni et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in Perceived Stress and Its Relationship to Telomere Length in Costa Rican Adults

Chacón

2022

Front. Psychol.

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IntroductionStress is associated with disease and reduced leukocyte telomere length (LTL). The objective of this research is to determine if self-perceived stress is associated with telomere length in Costa Rican adults and the gender differences in this association. Findings may help explain how some populations in apparent socioeconomic disadvantage and with limited access to specialized medical services have a remarkably high life expectancy.MethodologyData come from the pre-retirement cohort of the Costa Rican Longevity and Healthy Aging Study (CRELES), a population based survey conducted in the households to 2,327 adults aged 53 to 66 years. The DNA to measure LTL was extracted from blood cells in laboratories of the University of Costa Rica whereas the Blackburn laboratory at the University of California performed the telomere length measurement applying the quantitative polymerase chain reaction (Q-PCR). The relationship between telomere length and perceived stress was measured using least-squares multiple regression. Perceived stress was measured by a set of questions about family, job, finances and, health reasons to be stressed. Models included the control variables: (1) age and sex of the participant, (2) whether he or she resides in the Nicoya area, a “blue zone” known for its high longevity, and (3) the aforementioned sociodemographic, health and lifestyles characteristics.ResultsStress perception and LTL are significantly different by sex. Women perceived higher stress levels than men in almost all aspects studied, except work. Women have significantly longer telomeres. Shorter telomeres are significantly associated with caregiving stress in men and with parental health concerns in women. Counter-intuitive telomere lengthenings were observed among women who feel stressed about caring for family members; and among men who feel stressed due to their family relationships as well as concerns about their own health.DiscussionResults confirm that people with self-perceived stress due to caregiving or health issues have shorter telomeres. The relationship between stress and telomere length differs between men and women. Gender relations exert a strong modifier effect on the relationship between stress and LTL: gender is related to perceived stress, telomere length, and apparently also to the way stress and LTL are related.

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Puerto Rican Elderly: Health Conditions (PREHCO) Project, 2002-2003, 2006-2007

Cited by 7 publications

References 0 publications

Validation of the abbreviated Lubben Social Network Scale (LSNS‐6) and its association with self‐rated health amongst older adults in Puerto Rico

Validation of the abbreviated Lubben Social Network Scale (LSNS‐6) and its association with self‐rated health amongst older adults in Puerto Rico

Aging in Puerto Rico: A Comparison of Health Status Among Island Puerto Rican and Mainland U.S. Older Adults

Gender Differences in Perceived Stress and Its Relationship to Telomere Length in Costa Rican Adults

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