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Functional status in neighborhood co...

Kress, Amii Matilda.

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Functional status in neighborhood context in older adults.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Functional status in neighborhood context in older adults./
Author:	Kress, Amii Matilda.
Description:	306 p.
Notes:	Source: Dissertation Abstracts International, Volume: 75-02(E), Section: B.
Contained By:	Dissertation Abstracts International75-02B(E).
Subject:	Health Sciences, Epidemiology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3574954
ISBN:	9781303522710

Functional status in neighborhood context in older adults.
Kress, Amii Matilda.

Functional status in neighborhood context in older adults. - 306 p.

Source: Dissertation Abstracts International, Volume: 75-02(E), Section: B.

Thesis (Ph.D.)--The Johns Hopkins University, 2013.

Background: Functional disability will increase to epidemic levels globally as a result of the increasing prevalence of chronic diseases, injuries, and changing age distribution of the population. It is essential to better identify modifiable population-level risk factors for functional disability such as neighborhood context.

ISBN: 9781303522710Subjects--Topical Terms:

1019544
Health Sciences, Epidemiology.

Functional status in neighborhood context in older adults.
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020 $a 9781303522710
035 $a (MiAaPQ)AAI3574954
035 $a AAI3574954
040 $a MiAaPQ $c MiAaPQ
100 1 $a Kress, Amii Matilda. $3 2104087
245 1 0 $a Functional status in neighborhood context in older adults.
300 $a 306 p.
500 $a Source: Dissertation Abstracts International, Volume: 75-02(E), Section: B.
500 $a Adviser: Thomas A. Glass.
502 $a Thesis (Ph.D.)--The Johns Hopkins University, 2013.
520 $a Background: Functional disability will increase to epidemic levels globally as a result of the increasing prevalence of chronic diseases, injuries, and changing age distribution of the population. It is essential to better identify modifiable population-level risk factors for functional disability such as neighborhood context.
520 $a Objectives: The aims of this dissertation were to (1) generate an objective measure of life-space and identify potential correlates and (2) examine the association of neighborhood psychosocial hazards (NPH) with prevalent and incident functional disability.
520 $a Methods: Data for all three aims were from the Baltimore Memory Study (BMS), a multilevel longitudinal population-based study of risk factors for cognitive decline in community dwelling adults (N = 1140), 50 - 70 years of age at baseline, sampled from 65 named neighborhoods in Baltimore City. Aim 1 also used data from the LIFEmeter Study, a cross-sectional study designed to develop an objective measure of social, physical, and cognitive functioning using sensors in a sample of 100 community dwelling older adults sampled from the BMS. We developed new objective measures of life-space using spatial-temporal data collected with a global positioning system (GPS) device for aim 1. We used bivariate analyses to identify individual-level correlates of our life-space measures. We used multilevel models for aims 2 and 3 in order to assess the association of NPH with prevalent and incident functional disability while accounting for the correlation of repeated measures within participants (aim 3) who were nested within neighborhoods (aims 2 and 3).
520 $a Results: The life-space of older adults is very heterogeneous. The use of sensors in aging populations is feasible; however, methods for data collection and analyses need additional development. Older adults in neighborhoods with high psychosocial hazards had lower mean physical functioning, increased odds of prevalent of disability, and increased odds of incident functional disability.
520 $a Conclusion: Life-space is complicated and it is essential that we improve our measurement of this important construct. Psychosocial hazards in neighborhood environments---many of which are amenable to change---may reduce functional ability. Interventions that target these psychosocial hazards may be the best public health strategy to promote physical functioning at the population level.
590 $a School code: 0098.
650 4 $a Health Sciences, Epidemiology. $3 1019544
650 4 $a Health Sciences, Aging. $3 1669845
690 $a 0766
690 $a 0493
710 2 $a The Johns Hopkins University. $b Epidemiology. $3 2104088
773 0 $t Dissertation Abstracts International $g 75-02B(E).
790 $a 0098
791 $a Ph.D.
792 $a 2013
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3574954