TY - JOUR T1 - Housing status, mortgage debt and financial burden as barriers to health among older adults in the U.S JF - Housing and Society Y1 - 2022 A1 - Mehdipanah, Roshanak A1 - Martin, Jaclyn A1 - Eisenberg, Alexa K. A1 - Amy J Schulz A1 - Lewis B Morgenstern A1 - Kenneth M. Langa KW - health KW - Housing KW - housing tenure KW - mortgage KW - Older adult AB - ABSTRACT We examine relations between housing status, mortgage, financial burden, and healthy aging among older U.S. adults. We combine cross-sectional data from 2012 to 2014 Health and Retirement Study cohorts. Using regression models, we examined associations between owners and renters, mortgage and non-mortgage holders, financial strain, and difficulty paying bills, and poor self-rated health (SRH), heart condition (HC) and hospitalization (past two years). We find that compared to owners, renters had greater likelihood of poor SRH and hospitalization. Regardless of tenure, financial strain was associated with greater likelihood of poor SRH, HC and hospitalization, while difficulty paying bills was associated with poor SRH and HC. Mortgage holders had lower likelihood of poor SRH. Accounting for mortgage status, financial strain was associated with greater likelihood of poor SRH, HC and hospitalization, while difficulty paying bills was associated with poor SRH and HC. Associations between tenure or mortgage status and health were not modified by either financial burden factors. We conclude that there need to be more robust and inclusive programs that assist older populations with housing could improve self-rated health, with particular attention to renters, mortgage holders and those experiencing financial burden. VL - 49 SN - 0888-2746 IS - 1 ER - TY - JOUR T1 - Methods and Early Recruitment of a Community-Based Study of Cognitive Impairment Among Mexican Americans and Non-Hispanic Whites: The BASIC-Cognitive Study JF - Journal of Alzheimer's Disease Y1 - 2020 A1 - Emily Briceño A1 - Mehdipanah, Roshanak A1 - Gonzales, Xavier A1 - Steven G Heeringa A1 - Deborah A Levine A1 - Kenneth M. Langa A1 - Garcia, Nelda A1 - Longoria, Ruth A1 - Lewis B Morgenstern KW - Caregivers KW - Dementia KW - Epidemiology KW - Health Resources KW - mexican american KW - mild cognitive impairment AB - Background: As the Mexican American (MA) population grows and ages, there is an urgent need to estimate the prevalence of cognitive impairment or dementia (CID), cognitive trajectories, and identify community resource needs. The Brain Attack Surveillance in Corpus Christi (BASIC)-Cognitive project is a population-based study to address these issues among older MAs and non-Hispanic whites (NHW) and their informal care providers. Objective: Present the methodology and initial recruitment findings for the BASIC-Cognitive project. Method: Random, door-to-door case ascertainment is used in Nueces County, Texas, to recruit community-dwelling and nursing home residents ≥65 and informal care providers. Households are identified from a two-stage area probability sample, using Census data to aim for equal balance of MAs and NHWs. Individuals with cognitive screens indicative of possible CID complete neuropsychological assessment (Harmonized Cognitive Assessment Protocol from the Health and Retirement Study). Informal care providers complete comprehensive interview and needs assessment. Study pairs repeat procedures at 2-year follow-up. Asset and concept mapping are performed to identify community resources and study care providers’ perceptions of needs for individuals with CID. Results: 1,030 age-eligible households were identified, or 27% of households for whom age could be determined. 1,320 individuals were age-eligible, corresponding to 1.3 adults per eligible household. Initial recruitment yielded robust participation in the MA eligible population (60% of 689 individuals that completed cognitive screening). Conclusion: The BASIC-Cognitive study will provide critical information regarding the prevalence of CID in MAs, the impact of caregiving, and allocation of community resources to meet the needs of this population. VL - 73 SN - 1875-8908 UR - https://content.iospress.com/articles/journal-of-alzheimers-disease/jad190761 IS - 1 ER -