scholarly journals The race paradox in subjective wellbeing among older Americans

2017 ◽  
Vol 39 (3) ◽  
pp. 568-589 ◽  
Author(s):  
FENGYAN TANG ◽  
HEEJUNG JANG ◽  
MARY BETH RAUKTIS ◽  
DONALD MUSA ◽  
SCOTT BEACH
Keyword(s):  
Social Support ◽  
Life Satisfaction ◽  
Racial Differences ◽  
Social Engagement ◽  
Subjective Wellbeing ◽  
The United States ◽  
Future Research ◽  
Racial Groups ◽  
Crossover Effect ◽  
Older Americans

ABSTRACTThis study aims to assess racial differences in subjective wellbeing (SWB) and to examine whether the pathways of social support and social engagement to SWB vary by racial groups in the United States of America. Using a local sample (N = 1,035) and a nationally representative sample of the Health and Retirement Study (N = 7,718), we compared life satisfaction and happiness between non-Hispanic Whites and Blacks aged 55 and over. We evaluated the extent to which race, other socio-demographic characteristics, health, social engagement and social support explained the variances in SWB and examined the moderation effects of race on the relationships of SWB with age, social support and social engagement. Multiple regression analyses showed that non-Hispanic Blacks were at least as satisfied as, and even happier than White peers, after equalising social resources and health variables. Social support was significantly related to SWB, and it seemed that positive support was more important to Whites than to Blacks in predicting life satisfaction. In addition, the racial crossover effect existed, that is, the old-old (80+) Blacks were happier than their White peers. Findings indicate a national trend of the race paradox in SWB and underscore the importance of social support in promoting older adults’ wellbeing. Future research is recommended to investigate other potential mechanisms among Black older Americans to explain their relatively better SWB.

scholarly journals Social Engagement and Episodic Memory in Non-Hispanic Black and White Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 343-343
Author(s):  
Abbey Hamlin ◽  
A Zarina Kraal ◽  
Laura Zahodne
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Episodic Memory ◽  
Cognitive Aging ◽  
Social Engagement ◽  
Future Research ◽  
Social Activities ◽  
Linear Regression Models ◽  
Significant Positive Association ◽  
Cross Sectional

Abstract Social engagement may confer cognitive benefits in older adulthood, but studies have typically been restricted to largely non-Hispanic White (NHW) samples. Levels of social engagement vary across race such that NHW report larger social networks, more frequent participation in social activities, and greater social support than non-Hispanic Blacks (NHB). Associations between social engagement and cognition may also vary by race, but research is sparse. The current cross-sectional study examined associations between different aspects of social engagement and episodic memory performance, as well as interactions between social engagement and race among NHB and NHW participants in the Michigan Cognitive Aging Project (N = 247; 48.4% NHB; age = 64.19 ± 2.92). Social engagement (network size, activities, support) was self-reported. Episodic memory was a z-score composite of immediate, delayed, and recognition trials of a list-learning task. Separate hierarchical linear regression models quantified interactions between race and each of the three social engagement variables on episodic memory, controlling for sociodemographics, depressive symptoms, and health conditions. Results showed a main effect of more frequent social activity on better episodic memory, as well as an interaction between race and social support indicating a significant positive association in NHB but not NHW. These preliminary findings suggest that participating in social activities may be equally beneficial for episodic memory across NHB and NHW older adults and that social support may be particularly beneficial for NHB. Future research is needed to determine the potential applications of these results in reducing cognitive inequalities through the development of culturally-relevant interventions.

Ethnicity and Antipsychotic Response

1997 ◽  
Vol 31 (11) ◽  
pp. 1360-1369 ◽  
Author(s):  
Edyta J Frackiewicz ◽  
John J Sramek ◽  
John M Herrera ◽  
Neil M Kurtz ◽  
Neal R Cutler
Keyword(s):  
African Americans ◽  
Environmental Factors ◽  
Racial Differences ◽  
Future Research ◽  
Racial Groups ◽  
Prescribing Practices ◽  
Data Synthesis ◽  
Medline Search ◽  
Study Selection ◽  
And Control

OBJECTIVE: To review the data generated by studies examining interethnic/racial differences in response to antipsychotics. DATA SOURCES: A MEDLINE search (1966-19%) identified all articles examining differences in antipsychotic response among Caucasians, Asians, Hispanics, and African-Americans, as well as articles evaluating postulated mechanisms for these differences. STUDY SELECTION: All abstracts, studies, and review articles were evaluated. DATA SYNTHESIS: Ethnic/racial differences in response to antipsychotic medications have been reported and may be due to genetics, kinetic variations, dietary or environmental factors, or variations in the prescribing practices of clinicians. Studies suggest that Asians may respond to lower doses of antipsychotics due to pharmacokinetic and pharmacodynamic differences. Research relevant to African-Americans is limited, but some studies suggest that differences in this group may be due to clinician biases and prescribing practices, rather than to pharmacokinetic or pharmacodynamic variability. CONCLUSIONS: Future research directed at validating the hypotheses that different ethnic/racial groups show variations in response to antipsychotics should focus on homogenous ethnic groups, use recent advances in pharmacogenetic testing, and control for such variables as observer bias, gender, disease chronicity, dietary and environmental factors, and exposure to enzyme-inducing and -inhibiting agents. Clinicians should be aware that potential interethnic/racial differences in pharmacodynamics and pharmacokinetics may exist that can alter response to antipsychotics.

Community Access and Satisfaction: Racial Differences in Later Life

1983 ◽  
Vol 16 (3) ◽  
pp. 209-219 ◽  
Author(s):  
Russell A. Ward ◽  
Harold Kilburn
Keyword(s):  
Life Satisfaction ◽  
Social Interaction ◽  
Survey Data ◽  
Racial Differences ◽  
Indirect Effect ◽  
Social Life ◽  
Later Life ◽  
Future Research ◽  
Community Mobility ◽  
Community Access

Community access can be expected to have an important influence on the life satisfaction of the aged because of age-linked restrictions in social life space. Such access may be less important for older blacks, however, as a consequence of lifelong “ghettoization.” These hypotheses are tested using national survey data. Community mobility is found to have a stronger association with life satisfaction for older whites, while having only an indirect effect through social interaction for older blacks. Directions for future research are suggested.

scholarly journals Factors Underlying Racial Disparities in Sepsis Management

Healthcare ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 133
Author(s):  
Matthew DiMeglio ◽  
John Dubensky ◽  
Samuel Schadt ◽  
Rashmika Potdar ◽  
Krzysztof Laudanski
Keyword(s):  
Racial Disparities ◽  
Racial Differences ◽  
Minority Groups ◽  
The United States ◽  
Racial Groups ◽  
Sepsis Management ◽  
Treatment Protocols ◽  
Common Causes ◽  
Standardized Treatment ◽  
Wide Variability

Sepsis, a syndrome characterized by systemic inflammation during infection, continues to be one of the most common causes of patient mortality in hospitals across the United States. While standardized treatment protocols have been implemented, a wide variability in clinical outcomes persists across racial groups. Specifically, black and Hispanic populations are frequently associated with higher rates of morbidity and mortality in sepsis compared to the white population. While this is often attributed to systemic bias against minority groups, a growing body of literature has found patient, community, and hospital-based factors to be driving racial differences. In this article, we provide a focused review on some of the factors driving racial disparities in sepsis. We also suggest potential interventions aimed at reducing health disparities in the prevention, early identification, and clinical management of sepsis.

scholarly journals Are Coping Strategies with Well-Being in Deaf and Blind Parents Related?

2021 ◽  
Vol 11 (4) ◽  
pp. 1422-1439
Author(s):  
Maria Luisa Indiana ◽  
Elisabetta Sagone ◽  
Salvatore Luciano Orazio Fichera
Keyword(s):  
Social Support ◽  
Life Satisfaction ◽  
Coping Strategies ◽  
Self Efficacy ◽  
Satisfaction With Life ◽  
Well Being ◽  
Sensory Loss ◽  
Future Research ◽  
Psychological Well Being ◽  
Deaf Parents

The main purpose of this cross-sectional study, carried out with deaf parents and blind parents, is to analyze the association of coping strategies, life satisfaction, well-being, and generalized self-efficacy, compared to a group of parents without a sensory loss. The Coping Orientation to Problems Experienced, Satisfaction with Life, Generalized Self-efficacy, and Psychological Well-Being scales were applied. Results indicate that: (1) deaf parents and blind parents search for social support, use avoidance, and turn to religion more than those without a sensory loss; (2) deaf parents are more satisfied with life than blind parents and those without a sensory loss; (3) deaf parents and blind parents perceive themselves as less efficacious than those without a sensory loss; (4) deaf parents and blind parents report lower psychological well-being (autonomy and personal growth) than those without a sensory loss, except for self-acceptance. Searching for social support and turning to religion are negatively associated with life satisfaction in deaf parents and those without a sensory loss; further, these coping strategies (together with avoidance) affect the psychological well-being of deaf parents and parents without a sensory loss. Future research could investigate deeper into the effects of these dimensions on well-being and the styles of parenting in these families.

scholarly journals Social network members who engage in activities with older adults: do they bring more social benefits than other members?

2018 ◽  
Vol 39 (5) ◽  
pp. 1050-1069 ◽  
Author(s):  
SATO ASHIDA ◽  
DANIEL K. SEWELL ◽  
ELLEN J. SCHAFER ◽  
AUDREY SCHROER ◽  
JULIA FRIBERG
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Social Network ◽  
Social Influence ◽  
Social Relationships ◽  
Social Engagement ◽  
The United States ◽  
Social Benefits ◽  
Social Activities ◽  
Generalised Linear Mixed Model

ABSTRACTActive participation in social activities is important for the wellbeing of older adults. This study explored benefits of active social engagement by evaluating whether relationships that comprise active involvement (e.g. co-engagement in activities) bring more social benefits (i.e. social support, companionship, positive social influence) than other relationships that do not involve co-engagement. A total of 133 adults ages 60 years and older living in a rural Midwestern city in the United States of America were interviewed once and provided information on 1,740 social network members. Among 1,506 social relationships in which interactions occurred at least once a month, 52 per cent involved engagement in social activities together and 35 per cent involved eating together regularly. Results of the generalised linear mixed model showed that relationships involving co-engagement were significantly more likely to also convey social support (i.e. emotional, instrumental, informational), companionship and social influence (encouragement for healthy behaviours) than relationships that do not involve co-engagement. Having more network members who provide companionship was associated with higher sense of environmental mastery, positive relations with others and satisfaction with social network. Interventions may focus on maintaining and developing such social relationships and ensuring the presence of social settings in which co-engagement can occur. Future research may explore whether increasing co-engagement leads to an enhanced sense of companionship and psychological wellbeing.

Abstract 491: Racial Disparities in the Trends of Acute Myocardial Infarction Outcomes Among Medicaid Patients, 2007-2011

2017 ◽  
Vol 37 (suppl_1) ◽  
Author(s):  
Oluwole M Adegbala ◽  
Akintunde Akinjero ◽  
Samson Alliu ◽  
Adeyinka C Adejumo ◽  
Emmanuel Akintoye ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
African Americans ◽  
Length Of Stay ◽  
Hospital Mortality ◽  
Racial Disparities ◽  
Racial Differences ◽  
Length Of Hospital Stay ◽  
The United States ◽  
Racial Groups

Background: Although, in-hospital mortality from acute myocardial infarction (AMI) have declined in the United States recently, there is a gap in knowledge regarding racial differences in this trend. We sought to evaluate the effect of race on the trends in outcomes after Acute Myocardial Infarction among Medicaid patients in a nationwide cohort from 2007-2011 Methods: We extracted data from the Nationwide Inpatient Sample (NIS) for all hospitalizations between 2007 and 2011 for Medicaid patients aged 45 years or older with principal diagnosis of AMI using ICD-9-CM codes. Primary outcome of this study was all cause in-hospital mortality. We then stratified hospitalizations by racial groups; Whites, African Americans and Hispanics, and assessed the time trends of in-hospital mortality before and after multivariate analysis. Results: The overall mortality from AMI among Medicaid patients declined during the study period (8.80% in 2007 to 7.46% in 2011). In the adjusted models, compared to 2007, in-hospital mortality from AMI for Medicaid patients decreased across the 3 racial groups; Whites (aOR= 0.88, CI=0.70-0.99), African Americans (aOR=0.76, CI=0.57-1.01), Hispanics (aOR=0.87, CI=0.66-1.25). While the length of hospital stay declined significantly among African American and Hispanic with 2 days and 1.76 days decline respectively, the length of stay remained unchanged for Whites. There was non-significant increase in the incidence of stroke across the various racial groups; Whites (aOR= 1.23, CI=0.90 -1.69), African Americans (aOR=1.10, CI=0.73 -1.64), Hispanics (aOR=1.03, CI=0.68-1.55) when compared to 2007. Conclusion: In this study, we found that in-hospital mortality from AMI among Medicaid patients have declined across the racial groups. However, while the length of stay following AMI declined for African Americans and Hispanics with Medicaid insurance, it has remained unchanged for Whites. Future studies are necessary to identify determinants of these significant racial disparities in outcomes for AMI.

scholarly journals Black and White Differences in Life Expectancy in 4 US States, 1969-2013

2019 ◽  
Vol 134 (6) ◽  
pp. 634-642 ◽  
Author(s):  
Jay S. Kaufman ◽  
Corinne A. Riddell ◽  
Sam Harper
Keyword(s):  
New York ◽  
Life Expectancy ◽  
Racial Differences ◽  
State Level ◽  
Decomposition Methods ◽  
The United States ◽  
Future Research ◽  
Age Group ◽  
Life Expectancy At Birth ◽  
Racial Gap

Objectives: Racial differences in mortality in the United States have narrowed and vary by time and place. The objectives of our study were to (1) examine the gap in life expectancy between white and black persons (hereinafter, racial gap in life expectancy) in 4 states (California, Georgia, Illinois, and New York) and (2) estimate trends in the contribution of major causes of death (CODs) to the racial gap in life expectancy by age group. Methods: We extracted data on the number of deaths and population sizes for 1969-2013 by state, sex, race, age group, and 6 major CODs. We used a Bayesian time-series model to smooth and impute mortality rates and decomposition methods to estimate trends in sex- and age-specific contributions of CODs to the racial gap in life expectancy. Results: The racial gap in life expectancy at birth decreased in all 4 states, especially among men in New York (from 8.8 to 1.1 years) and women in Georgia (from 8.0 to 1.7 years). Although few deaths occurred among persons aged 1-39, racial differences in mortality at these ages (mostly from injuries and infant mortality) contributed to the racial gap in life expectancy, especially among men in California (1.0 year of the 4.3-year difference in 2013) and Illinois (1.9 years of the 6.7-year difference in 2013). Cardiovascular deaths contributed most to the racial gap in life expectancy for adults aged 40-64, but contributions decreased among women aged 40-64, especially in Georgia (from 2.8 to 0.5 years). The contribution of cancer deaths to inequality increased in California and Illinois, whereas New York had the greatest reductions in inequality attributable to cancer deaths (from 0.6 to 0.2 years among men and from 0.2 to 0 years among women). Conclusions: Future research should identify policy innovations and economic changes at the state level to better understand New York’s success, which may help other states emulate its performance.

Another Paradox? The Life Satisfaction of Older Hispanic Immigrants in the United States

2016 ◽  
Vol 29 (1) ◽  
pp. 3-24 ◽  
Author(s):  
Rocío Calvo ◽  
Dawn C. Carr ◽  
Christina Matz-Costa
Keyword(s):  
United States ◽  
Life Satisfaction ◽  
Functional Limitations ◽  
The United States ◽  
Ordinary Least Squares ◽  
Future Research ◽  
Hispanic Immigrants ◽  
Cross Sectional ◽  
Socioeconomic Resources ◽  
Hispanic White

Objective: To investigate disparities in life satisfaction among older Hispanic immigrants in the United States relative to their native-born Hispanic and non-Hispanic White counterparts, and to identify factors associated with such disparities. Method: Cross-sectional data from 9,798 individuals age 60 and above from the Health and Retirement Study (HRS) were used to estimate ordinary least squares (OLS) regression models. Results: Hispanic immigrants reported the highest levels of life satisfaction of all groups. Wealthier older adults, who were socially engaged, had social support, and experienced fewer functional limitations and lower exposure to discrimination, were more satisfied with their lives in the overall sample. Interaction effects revealed that although education was associated with greater life satisfaction only among non-Hispanic Whites, co-residing with children was associated with greater life satisfaction only among Hispanics. Discussion: Although older Hispanic immigrants had the least amount of socioeconomic resources of all groups in our study, they were the most satisfied with their lives. Possible explanations and directions for future research are discussed.

scholarly journals Rethinking the Hispanic Paradox: The Mortality Experience of Mexican Immigrants in Traditional Gateways and New Destinations

2017 ◽  
Vol 51 (3) ◽  
pp. 567-599 ◽  
Author(s):  
Andrew Fenelon
Keyword(s):  
Social Support ◽  
Mexican Immigrants ◽  
The United States ◽  
Ethnic Composition ◽  
Future Research ◽  
Protective Effects ◽  
Ethnic Density ◽  
New Destinations ◽  
Significant Survival ◽  
The Relationship

Previous research suggests that favorable health outcomes among Mexican immigrants reflect high levels of social support in enclave communities with high co-ethnic density. This study examines the mortality outcomes of Mexican immigrants in the United States in traditional gateways versus new and minor destinations. Mexican immigrants in new and minor destinations have a significant survival advantage over those in traditional gateways, reflecting less established communities in new destinations. This finding casts doubt on the protective effects of enclaves, since non-traditional destinations have less established immigrant communities. Future research should reevaluate the relationship between community ethnic composition, social support, and immigrant health.

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