@article {6437, title = {Functioning, Forgetting, or Failing Health: Which Factors Are Associated With a Community-Based Move Among Older Adults?}, journal = {J Gerontol B Psychol Sci Soc Sci}, volume = {71}, year = {2016}, month = {2016 Nov}, pages = {1120-1130}, abstract = {

OBJECTIVE: To examine whether the health and functioning of middle-aged and older adults are associated with an increased likelihood of community-based moves.

METHOD: Biennial data from adults aged 51 and older in the Health and Retirement Study (HRS) and discrete-time survival models were used to assess the likelihood of community-based moves from 2000 to 2010 as a function of 11 measures of health and functioning.

RESULTS: Respondents diagnosed with heart disease, stroke, hypertension, lung disease, and psychiatric problems were more likely to move during the study period than those with no such diagnosis. Changes in activities of daily living and instrumental activities of daily living functioning, cognitive impairment, and falls were also related to a greater likelihood of moving during the study period. Cancer and diabetes were not related to overall moves, although diabetes was associated with an increased likelihood of local moves. For the most part, it was longstanding not recent diagnoses that were significantly related to the likelihood of moving.

DISCUSSION: Although some health conditions precipitate moves among middle-aged and older adults, others do not. This work has important implications for understanding the role of different aspects of health and functioning in the likelihood of migration among older adults.

}, keywords = {Activities of Daily Living, Aged, Aged, 80 and over, Aging, Cognitive Dysfunction, Female, Health Status, Health Surveys, Humans, Male, Middle Aged, Population Dynamics, Residence Characteristics, United States}, issn = {1758-5368}, doi = {10.1093/geronb/gbv075}, url = {http://psychsocgerontology.oxfordjournals.org/content/early/2015/10/07/geronb.gbv075.abstract}, author = {Esther M Friedman and Margaret M Weden and Regina A Shih and Stephanie Kovalchik and Singh, Reema and Jos{\'e} J Escarce} } @article {7916, title = {Health status and behavioral risk factors in older adult Mexicans and Mexican immigrants to the United States.}, journal = {J Aging Health}, volume = {25}, year = {2013}, month = {2013 Feb}, pages = {136-58}, publisher = {25}, abstract = {

OBJECTIVE: Investigate the "salmon-bias" hypothesis, which posits that Mexicans in the U.S. return to Mexico due to poor health, as an explanation for the Hispanic health paradox in which Hispanics in the United States are healthier than might be expected from their socioeconomic status.

METHOD: Sample includes Mexicans age 50 years or above living in the United States and Mexico from the 2003 Mexican Health and Aging Study and the 2004 Health and Retirement Study. Logistic regressions examine whether nonmigrants or return migrants have different odds than immigrants of reporting a health outcome.

RESULTS: The salmon-bias hypothesis holds for select health outcomes. However, nonmigrants and return migrants have better health outcomes than immigrants on a variety of indicators.

DISCUSSION: Overall, the results of this study do not support the salmon-bias hypothesis; other explanations for the paradox could be explored.

}, keywords = {Aged, Emigrants and Immigrants, Emigration and Immigration, Female, Health Status, Health Surveys, Humans, Male, Mexican Americans, Mexico, Middle Aged, Risk Factors, Risk-Taking, Social Class, United States}, issn = {1552-6887}, doi = {10.1177/0898264312468155}, url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3663916/}, author = {Emma Aguila and Jos{\'e} J Escarce and Leng, Mei and Morales, Leo} } @article {7304, title = {The health effects of Medicare for the near-elderly uninsured.}, journal = {Health Serv Res}, volume = {44}, year = {2009}, month = {2009 Jun}, pages = {926-45}, publisher = {44}, abstract = {

OBJECTIVE: To determine whether Medicare enrollment at age 65 has an effect on the health trajectory of the near-elderly uninsured.

DATA SOURCES: Eight biennial waves (1992-2006) of the Health and Retirement Study, a nationally representative panel survey of noninstitutionalized 51-61 year olds and their spouses.

STUDY DESIGN: We use a quasi-experimental approach to compare the health effects of insurance for the near-elderly uninsured with previously insured contemporaneous controls. The primary outcome measure is overall self-reported health status combined with mortality (i.e., excellent to very good, good, fair to poor, dead).

RESULTS: The change in the trajectory of overall health status for the previously uninsured that can be attributed to Medicare is small and not statistically significant. For every 100 persons in the previously uninsured group, joining Medicare is associated with 0.6 fewer in excellent or very good health (95 percent CI: -4.8, 3.3), 0.3 more in good health (95 percent CI: -3.8, 4.1), 2.5 fewer in fair or poor health (95 percent CI: -7.4, 2.3), and 2.8 more dead (-4.0, 10.0) by age 73. The health trajectory patterns from physician objective health measures are similarly small and not statistically significant.

CONCLUSIONS: Medicare coverage at age 65 for the previously uninsured is not linked to improvements in overall health status.

}, keywords = {Aged, Attitude to Health, Female, Follow-Up Studies, Health Services Accessibility, Health Services Research, Health Status, Health Surveys, Humans, Insurance Coverage, Logistic Models, Male, Medically Uninsured, Medicare, Mortality, Multivariate Analysis, Program Evaluation, Retirement, Socioeconomic factors, Statistics, Nonparametric, United States}, issn = {1475-6773}, doi = {10.1111/j.1475-6773.2009.00964.x}, author = {Daniel Polsky and Jalpa A Doshi and Jos{\'e} J Escarce and Manning, Willard and Susan M Paddock and Cen, Liyi and Jeannette Rogowski} }