Theory Integration for Examining Health Care Discrimination among Minoritized Older Adults with Chronic Illness

Olmos, Brenda; Nava, Adrianna; Jones, Emily J.

doi:10.1177/01939459221128123

Cited by 4 publications

(3 citation statements)

References 39 publications

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“…(36,37) Forgoing medical care may exacerbate existing chronic health issues and worsen health outcomes long-term for older adults and minoritized racial and ethnic groups-who already experience more severe chronic illness and at younger ages. (38) The implications of this finding should be carefully considered when counseling high-risk groups on COVID-19 risk mitigation strategies. Interestingly, of all the groups, only Asian women were significantly less likely than Non-Hispanic White women to report difficulty getting routine care.…”

Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Differences in Self-Reported COVID-19 Exposure Risks, Concerns, and Behaviors Among Diverse Participants in the Women’s Health Initiative Study

Bennett

Hunt

Breathett

et al. 2023

The Journals of Gerontology: Series A

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Background Racial and ethnic disparities in COVID-19 risk are well-documented; however, few studies in older adults have examined multiple factors related to COVID-19 exposure, concerns, and behaviors or conducted race- and ethnicity- stratified analyses. The Women’s Health Initiative (WHI) provides a unique opportunity to address those gaps. Methods We conducted a secondary analysis of WHI data from a supplemental survey of 48,492 older adults (mean age 84 years). In multivariable-adjusted modified Poisson regression analyses, we examined predisposing factors and COVID-19 exposure risk, concerns, and behaviors. We hypothesized that women from minoritized racial or ethnic groups, compared to Non-Hispanic White women, would be more likely to report: exposure to COVID-19, a family or friend dying from COVID-19, difficulty getting routine medical care or deciding to forego care to avoid COVID-19 exposure, and having concerns about the COVID-19 pandemic. Results Asian women and Non-Hispanic Black/African American women had a higher risk of being somewhat/very concerned about risk of getting COVID 19 compared to Non-Hispanic White women and each were significantly more likely than Non-Hispanic White women to report forgoing medical care to avoid COVID-19 exposure. However, Asian women were 35% less likely than Non-Hispanic White women to report difficulty getting routine medical care since March 2020 (aRR 0.65; 95% CI 0.57, 0.75). Conclusions We documented COVID-related racial and ethnic disparities in COVID-19 exposure risk, concerns, and care-related behaviors that disfavored minoritized racial and ethnic groups, particularly Non-Hispanic Black/African American women.

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Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Differences in Self-Reported COVID-19 Exposure Risks, Concerns, and Behaviors Among Diverse Participants in the Women’s Health Initiative Study

Bennett

Hunt

Breathett

et al. 2023

The Journals of Gerontology: Series A

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“…In India, old age homes are a recent development, for-profit homes (sometimes referred to as "pay-and-stay" homes) and communitybased services are recent advancements in eldercare. This new kind of residence, which resembles retirement homes in the United States, was created in response to the increasing needs of middle-class and upper-class families whose younger members are unable to care for people's elderly relatives (Maurya et al, 2022;Olmos et al, 2023;Harper, 2022;Wasal, 2019). Older residents in institutional care settings are particularly defenceless and hence more likely to experience abuse, but few nations have examined the scope and character of this phenomenon in national research.…”

Section: Introductionmentioning

confidence: 99%

Communal Effect Attitudes on Punjab Senior Citizens

Kaur,

Parihar

2024

IRMM

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Among the most vulnerable groups in society is the elderly, who face issues such as a deteriorating feeling of self-worth brought on by physical weakness, a dwindling social position, and limited financial resources. Feelings of insignificance have been exacerbated by the fact that families are finding it more difficult to care for the elderly due to socioeconomic and demographic changes. As a result, psychological difficulties frequently outweigh outward indications of aging as people age. With a specific focus on 260 senior individuals in Punjab between the ages of 60 and 90, this study sought to investigate the effects of family and social attitudes toward the old. The majority of respondents claimed financial independence, but only 11% reported having stable finances due to rental income and savings account interest. But 8% struggled to pay for everyday needs, and some experienced severe financial difficulties related to fundamental needs and family responsibilities. Remarkably, only 11.7% of older people consistently created strong social relationships, compared to 76.6% who did so on occasion. Furthermore, 16.7% of respondents admitted to their situation, suggesting a greater dedication to maintaining family togetherness. The behavioral changes aligned with the perceptions of 83% of senior respondents who observed a shift in the way older persons view their basic obligations. Family dynamics, economic dependence, physical abuse cases, feelings of isolation, inadequate social support, family members' disdain, and food-related issues were among the main concerns. The study emphasized the complex relationships that exist between aging, health problems, decreased physical activity, and elder abuse. It also clarified the critical roles that qualities, social interactions, financial dependence, and behaviors have in influencing these relationships.

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“…Latino individuals experience more health disparities (6) and more limited access to DGBI care than non-Latino White individuals (7) (e.g., receiving fewer specialist consultations for DGBI symptoms) (8,9). Furthermore, understanding of health status among the Latino community is oftentimes influenced by cultural factors (e.g., language barriers, mistrust for health care providers, stigma toward seeking health care, communication style, and illness beliefs) (10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Characterizing the Impact of Disorders of the Gut-Brain Interaction on Mental and Physical Health Functioning Among Spanish-Speaking Latino Adults Living in the United States

Smit,

Rogers,

Lackner

et al. 2023

Am J Gastroenterol

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Introduction: Latino individuals are underrepresented in the DGBI literature, and no work has explored how DGBI impact health and well-being in this group. Method: The current study sought to explore how DGBI impact health factors in a sample of Latino individuals (N=292; 80.80% female; M age =37.65 years, SD=11.98) with (n=60) and without (n=232) a ROME-IV diagnosed DGBI. Results: DGBI was associated with increased pain intensity, pain disability, cardiovascular risk, depressive symptoms, and anxiety/panic symptoms and lower physical health-related QoL and mental health-related QoL controlling for age, sex, and nativity. Discussion: Better understanding mental health and treatment seeking behaviors among Latino individuals may help clinical gastroenterologists engage their Latino patients to a greater extent and thus provide higher quality of care.

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Theory Integration for Examining Health Care Discrimination among Minoritized Older Adults with Chronic Illness

Cited by 4 publications

References 39 publications

Racial and Ethnic Differences in Self-Reported COVID-19 Exposure Risks, Concerns, and Behaviors Among Diverse Participants in the Women’s Health Initiative Study

Racial and Ethnic Differences in Self-Reported COVID-19 Exposure Risks, Concerns, and Behaviors Among Diverse Participants in the Women’s Health Initiative Study

Communal Effect Attitudes on Punjab Senior Citizens

Characterizing the Impact of Disorders of the Gut-Brain Interaction on Mental and Physical Health Functioning Among Spanish-Speaking Latino Adults Living in the United States

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